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投稿时间:2023-05-31 网络发布日期:2023-12-20
投稿时间:2023-05-31 网络发布日期:2023-12-20
中文摘要: 目的 探讨口腔癌游离皮瓣移植(OC-FFT)后个性化吞咽康复的干预效果。
方法选择2022年1月至12月南京市口腔医院进行OC-FFT治疗的88例口腔癌患者为研究对象。根据随机数字表法分为对照组和干预组,每组44例。对照组给予常规护理干预,干预组在常规护理基础上进行每天2次,持续10 d的个性化吞咽康复训练,采用吞咽能力评估量表(MASA-OC)、体重下降百分比、营养指标(前白蛋白、白蛋白、血红蛋白)、胃管拔除时间、生活质量量表(UW-QOLv4)评估干预效果。
结果 与对照组患者相比,干预组术后7 d、14 d、1个月3个时间点的MASA-OC评分和体重下降百分比情况均优于对照组(P<0.05)。术后,干预组患者营养指标情况、胃管拔除时间以及生活质量也优于对照组,比较差异具有统计学意义(P<0.05)。
结论 个性化吞咽康复能提高OC-FFT患者吞咽功能,帮助患者尽早拔除鼻胃管恢复经口进食,改善其营养状况和生活质量。
Abstract:Objective To investigate the intervention effect of personalized swallowing rehabilitation in patients with oral cancer after free flap transplantation (OC-FFT).
Methods From January to December 2022, 88 patients who received OC-FFT in Nanjing Stomatology Hospital were selected as the research objects. And they were divided into control group and intervention group randomly (n=44, each). The routine nursing intervention was conducted in control group, while personalized swallowing rehabilitation combined with routine nursing intervention was conducted in intervention group (twice a day, continued for 10 days). Mann Assessment of Swallowing Ability-Oral Cancer (MASA-OC), percentage of weight loss, nutritional indicators (prealbumin, albumin, hemoglobin), gastric tube removal time, and quality of life scale (University of Washington Quality of Life Questionnaire version 4, UW-QOLv4) were used to evaluate the intervention effect.
Results Compared with patients in the control group, the MASA-OC score and percentage of body weight loss at 7 days, 14 days, and 1 month after operation were better than those in the control group (P<0.05). And postoperatively, the nutritional indicators, gastric tube removal time, and quality of life of the intervention group were better than those of the control group (P<0.05).
Conclusion Personalized swallowing rehabilitation can improve the swallowing function of patients with OC-FFT, help patients remove nasogastric tube as soon as possible to resume oral feeding, and improve their nutritional status and quality of life.
keywords: Oral cancer Personalized swallowing rehabilitation Free flap transplantation Nutritional status Quality of life Swallowing ability Gastric tube removal time
文章编号: 中图分类号:R473.78 文献标志码:B
基金项目:江苏省“六个一工程”拔尖人才科研项目(LGY201911)
作者 | 单位 |
章爱丽 | 1. 南京大学医学院附属口腔医院口腔颌面头颈肿瘤外科,江苏 南京 210008 |
刘小娜 | 2. 南京大学医学院附属口腔医院大外科,江苏 南京 210008 |
刘江炎 | 1. 南京大学医学院附属口腔医院口腔颌面头颈肿瘤外科,江苏 南京 210008 |
毛妍 | 1. 南京大学医学院附属口腔医院口腔颌面头颈肿瘤外科,江苏 南京 210008 |
引用文本:
章爱丽,刘小娜,刘江炎,等.个性化吞咽康复在口腔癌游离皮瓣移植后患者中的应用[J].中国临床研究,2023,36(12):1905-1909.
章爱丽,刘小娜,刘江炎,等.个性化吞咽康复在口腔癌游离皮瓣移植后患者中的应用[J].中国临床研究,2023,36(12):1905-1909.