术后的口香糖训练在胸腔食道癌患者的食道切除术后防止舌头压力下降:一项非随机试验
Reiko Yamanaka-Kohno1, Yasuhiro Shirakawa2,3, Aya Yokoi4
1Department of Preventive Dentistry, Division of Dentistry, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama-shi, Okayama, 700-8558, Japan. reiko_y@md.okayama-u.ac.jp.
Scientific reports
|October 12, 2024
概括
术后的口香糖训练 (GCT) 可以帮助食道癌患者在食道切除术后保持舌头压力. 这种干预也减少了术后发烧日和并发症.
科学领域:
- 在瘤学瘤学.
- 手术康复手术康复
- 吞障碍 吞障碍 吞障碍
背景情况:
- 对食道癌的食道切除术通常会导致舌头压力 (TP) 的显著下降.
- 降低TP可能会对吞功能和手术后恢复产生负面影响.
- 牙训练 (GCT) 在健康个体中改善了TP的潜力.
研究的目的:
- 调查术前口香糖训练 (GCT) 在预防胸腔食道癌患者 (TECPs) 手术后TP下降的疗效.
- 评估GCT是否可以降低食道切除术后术后并发症的发生率.
主要方法:
- 一个单中心,非随机的干预研究与历史对照组 (HCG).
- 胸腔食道癌症患者 (TECPs) 接受了外科手术期间的GCT (每天3次).
- 使用倾向分数匹配,根据年龄,性别,BMI和重复的唾液吞测试结果创建一个可比的25对病例队列.
主要成果:
- 与HCG (76.0%) 相比,口香糖 (GCG) 组中较少的患者在手术后2周经历了显著的TP下降 (44.0%).
- 与HCG相比,GCG在食道切除术后2周内显示出平均发烧日数显著降低.
- 经外科手术的GCT显示出缓解TP减少和相关并发症的潜力.
结论:
- 术后的口香糖训练可能是一个有效的策略,以防止在食管癌患者的食管切除术后舌头压力下降.
- 此外,GCT也可能有助于减少术后并发症的发生,包括发烧和与失足症相关的问题.
- 需要进一步的研究来证实这些发现并优化GCT协议.
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