[为头部和部瘤患者提供预康复培训计划 - 病理生理学,目标结构和基于证据的练习]
Maximilian Jung1, Steffen Schulz2, Robert Mlynski3
1Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie "Otto Körner", Universitätsmedizin Rostock, Doberaner Straße 137-139, 18057, Rostock, Deutschland. Maximilian.Jung@med.uni-rostock.de.
HNO
|February 11, 2026
概括
对头癌患者的早期吞练习可以预防功能衰退. 虽然有希望,但需要更多的研究来证实这些预康复干预措施的有效性.
科学领域:
- 在瘤学瘤学.
- 吞障碍 吞障碍 吞障碍
- 康复 康复 康复 康复
背景情况:
- 口腔喉乱是头癌的常见并发症,对患者的生活质量,发病率和存活率产生负面影响.
- 功能障碍源于瘤特征,手术程序以及放射和化疗等治疗方法.
- 关键的病理生理因素包括减少舌头底部收缩,喉升高,喉收缩,表关节问题和与治疗有关的组织损伤.
研究的目的:
- 审查预康复性炼计划在治疗头癌患者口腔喉乱的作用.
- 为了识别用于失语管理的常见语音治疗练习.
- 突出需要进一步研究这些干预措施的最佳时间和影响.
主要方法:
- 对调查头癌患者的吞练习的研究进行文献综述.
- 识别经常报道的语言治疗练习,如马萨科,Shaker,Mendelsohn机动,下巴抗阻力 (CTAR) 和呼吸肌肉强度训练 (EMST).
主要成果:
- 早期开始吞练习可能会减少肌肉缩和功能限制.
- 支持这些益处的证据是有限的,因为研究人群很小,异质,研究设计不一致.
结论:
- 多学科评估使得量身定制的康复前炼计划能够防止功能衰退.
- 进一步的前性研究是必要的,以系统地评估在不断发展的癌症治疗的背景下,预康复的时间,强度和长期影响.
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