Application effect of swallowing function training combined with accelerated rehabilitation surgery in patients with swallowing dysfunction after oral cancer surgery
CHEN Sai-quan FANG Hui-ping
Department of Oral and Maxillofacial Surgery, Jiujiang First People′s Hospital, Jiangxi Province, Jiujiang 332000,China
摘要目的 探讨吞咽功能训练联合加速康复外科在口腔癌术后吞咽功能障碍患者的应用效果。方法 回顾性分析九江市第一人民医院收治的60 例口腔癌患者的临床资料，将2018年1—6月收治的30 例纳入对照组，行常规护理；将2018年7月—2019年5月收治的30 例纳入试验组，行吞咽功能训练联合加速康复外科护理。比较两组的术后恢复状况（首次下床时间、住院时间、术后7 d 体重降低幅度）、治疗费用及并发症发生情况；分别于术后第1、7、14 天应用标准吞咽功能评价量表（SSA）评估患者的吞咽功能；分别于术后12、24、48 h 应用视觉模拟评分法（VAS）评估两组的疼痛程度。结果 术后7、14 d，两组的SSA 评分低于术后1 d，且试验组术后7、14 d 的SSA 评分低于对照组，差异均有统计学意义（P＜0.05）。两组术后24、48 h 的VAS 评分低于术后12 h，且试验组术后12、24、48 h 的VAS 评分低于对照组，差异均有统计学意义（P＜0.05）。试验组术后的首次下床和住院时间短于对照组，术后7 d 的体重降低幅度小于对照组，治疗费用低于对照组，差异均有统计学意义（P＜0.05）。试验组的并发症总发生率为3.33%，低于对照组的20.00%，差异有统计学意义（P＜0.05）。结论 给口腔癌术后吞咽障碍患者早期吞咽功能训练及加速康复外科护理，能有效促进吞咽功能的恢复，减少并发症发生，减轻患者痛苦，缩短术后康复时间及住院时间，有利于减轻其经济负担。
Abstract：Objective To investigate the application effect of swallowing function training combined with accelerated rehabilitation surgery in patients with swallowing dysfunction after oral cancer surgery. Methods The clinical data of 60 patients with oral cancer treated in Jiujiang First People′s Hospital were retrospectively analyzed. A total of 30 patients who were admitted from January to June 2018 were included in the control group and given routine nursing. Another 30 patients who were admitted from July 2018 to May 2019 were included in the experimental group and given swallowing function training combined with accelerated rehabilitation surgical nursing. The postoperative recovery status(the first time of getting out of bed, the length of hospital stay, the decrease of body weight 7 days after surgery), the treatment cost and the incidence of complications were compared between the two groups. The swallowing function of the patients was evaluated by standard swallowing function scale (SSA) on the 1, 7 and 14th day after surgery. The visual analogue scale (VAS) was used to evaluate the pain degrees of the 2 groups at 12, 24 and 48 h after surgery, respectively. Results On day 7 and 14 after surgery, SSA scores of patients in both groups were lower than those on day 1 after surgery, and SSA scores of the experimental group on day 7 and 14 after surgery were lower than those of the control group, with statistical differences (P＜0.05). VAS scores at 24 and 48 h after surgery in the two groups were lower than those at 12 h after surgery, VAS scores of the experimental group at 12, 24 and 48 h after surgery were lower than those of the control group, and the differences were statistically significant (P＜0.05). Compared with the control group, in the experimental group, the first postoperative time of getting out of bed and hospitalization time were shorter;the decrease of body weight was lower; the treatment cost was lower, and the differences were statistically significant(P＜0.05). The total incidence of complications of the experimental group was 3.33%, which was lower than that of the control group (20.00%), and the difference was statistically significant (P＜0.05). Conclusion Early swallowing function training and accelerated rehabilitation surgical care for patients with swallowing dysfunction after oral cancer surgery can effectively promote the recovery of swallowing function, reduce the occurrence of complications, relieve the pain of patients, shorten the postoperative recovery time and hospitalization time, and help to reduce their economic burden.
陈赛泉；方慧萍. 吞咽功能训练联合加速康复外科在口腔癌术后吞咽功能障碍患者中的应用效果[J]. 中国当代医药, 2021, 28(19): 246-249.
CHEN Sai-quan FANG Hui-ping. Application effect of swallowing function training combined with accelerated rehabilitation surgery in patients with swallowing dysfunction after oral cancer surgery. 中国当代医药, 2021, 28(19): 246-249.
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