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中国临床研究英文版:2023,36(12):1905-1909
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个性化吞咽康复在口腔癌游离皮瓣移植后患者中的应用
(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;2. 南京大学医学院附属口腔医院大外科,江苏 南京 210008)
Personalized swallowing rehabilitation patients with oral cancer after free flap transplantation
(1.Surgery for Oral, Maxillofacial, Head and Neck Tumors, Nanjing Stomatology Hospital, Medicine School of Nanjing University, Nanjing, Jiangsu 210008, China;2.Major Surgery Department, Nanjing Stomatology Hospital, Medicine School of Nanjing University, Nanjing, Jiangsu 210008, China)
摘要
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Received:May 31, 2023   Published Online:December 20, 2023
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.
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)
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