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

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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.

Key words： Swallowing function Oral cancer Accelerated rehabilitation surgery Complication

Received: 06 January 2021

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