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在喉癌手术后探索远程吞训练模型:非随机并发受控试验
Nuan Li1, Wei Guo1, Zhiwei Hu2
1Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Journal of telemedicine and telecare
|June 10, 2025
概括
远程康复培训显著改善了患有喉癌的患者的吞功能和营养状况,为人体治疗提供了可行的替代方案.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 喉癌需要手术后的吞康复.
- 由于COVID-19的流行,患者的频繁医院访问受到限制.
- 基于网络的远程康复培训模式至关重要.
研究的目的:
- 评估远程康复培训模式的有效性.
- 评估其对改善术后吞功能的影响.
- 为了将其与传统的视频康复疗法进行比较.
主要方法:
- 两组16名患有上喉癌的患者接受了远程或视频康复治疗.
- 吞功能在经口食开始时被评估为基线.
- 在不同训练阶段对吞功能和并发症率进行了比较.
主要成果:
- 远程组从第2周开始显著改善了自主吞能力 (P<.001).
- 远程组的目标吞功能在第4周显著改善 (P<.001).
- 在远程组中观察到营养状况改善,特别是在激光手术后 (P=.02).
结论:
- 远程康复培训有效改善喉癌患者手术后吞障碍.
- 这个模型为未来的远程康复设计提供了基础.
- 将远程培训整合到术后护理中可以改善康复和生活质量.
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