在口腔大癌患者的放射治疗后,客观性消化不良非常常见
Christina Pflug1, Frank Müller1, Jana-Christiane Koseki1
1Department of Voice, Speech and Hearing Disorders, Center for Clinical Neurosciences, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
概括
消化不良或吞困难在头癌治疗后很常见. 灵活内镜吞评估 (FEES) 在大多数患者中显示出严重的吞问题,包括吸血和药丸吞受损.
科学领域:
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 缺食症是头癌治疗后的一个显著不良事件.
- 接受放射性化疗的口腔癌 (OPC) 患者特别容易出现吞困难.
研究的目的:
- 用灵活内镜评估吞 (FEES) 来评估OPC患者放射治疗后的喉残留物,透和吸收.
- 评估所感知的吞能力,并将其与客观的FEES发现相关联.
主要方法:
- 一项横截面研究包括了35名OPC患者,这些患者接受了R.
- 使用标准化玻尿酸一致性和测试药片进行了食灵活内镜评估 (FEES).
- 患者在视觉尺度上对自己的吞能力进行了评分.
主要成果:
- 66%的患者 (23/35) 经历了相关的消化不良.
- 91%的患者有喉残留物,15/35 (43%) 吸气,其中53%的吸气是无声的.
- 在消化不良和药丸吞受损之间发现了显著的关联 (P = .003).
结论:
- 在R(C) T.之后,超过一半的OPC患者患有严重的消化障碍.
- 药丸吞障碍是常见的,在患者管理中需要考虑.
- 建议定期评估食障碍,以改善生活质量和治疗结果.
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