项针结合康复训练治疗鼻咽癌放疗后吞咽障碍的疗效观察
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摘要
目的:通过项针结合康复训练治疗鼻咽癌放疗后吞咽障碍的临床观察,探讨安全有效的治疗鼻咽癌放疗后吞咽障碍的方法,为临床治疗提供理论依据。方法:将临床60例鼻咽癌放疗后患者随机分为治疗组和对照组,治疗组运用项针结合康复训练治疗,对照组康复训练治疗,采用洼田吞咽能力评定量表、标准吞咽功能评分(SSA)以及吞咽障碍特异性生活质量量表(SWAL-QOL)等方面判断其疗效。结果:在临床疗效方面,治疗组30例,临床显效15例,有效12例,总有效率为90.00%;对照组30例,临床显效7例,有效14例,总有效率为70.00%,差异具有统计学意义(P <0.05),说明治疗组疗效优于对照组。在治疗前后SWAL-QOL方面,治疗前后两组均有明显改善(P <0.01),治疗组生活质量的改善优于对照组(P <0.05)。结论:项针结合康复训练在治疗鼻咽癌放疗后吞咽障碍方面临床疗效确切,能有效改善患者生活质量。
Objective: To study the efficacy of nape acupuncture plus rehabilitation training on dysphagia after radiotherapy for nasopharyngeal carcinoma(NPC). Methods: Sixty patients with dysphagia after radio-therapy for NPC were randomly divided into the treatment group and the control group. The former was treated by nape acupuncture plus rehabilitation training; and the later was given rehabilitation training simply. Kubota swallowing ability assessment were used for statistical analysis and clinical efficacy evaluation before and after treatment. Results: 30 patients in the treatment group, 15 cases were clinically effective; 12 cases were effective, the total efficiency was 90.00%. 30 cases in the control group, 7 cases were clinically effective; 14 cases were effective; and the total efficiency; was70.00%(P<0.05). The treatment group was better than the control group. The SWAL-QOL in two groups were significantly improved after treatment(P<0.01); and the treatment group was better(P<0.05). Conclusion: nape acupuncture plus rehabilitation training on dysphagia after radiotherapy for nasopharyngeal carcinoma show a good effect, and is worthy of promotion.
Objective: To study the efficacy of nape acupuncture plus rehabilitation training on dysphagia after radiotherapy for nasopharyngeal carcinoma(NPC). Methods: Sixty patients with dysphagia after radio-therapy for NPC were randomly divided into the treatment group and the control group. The former was treated by nape acupuncture plus rehabilitation training; and the later was given rehabilitation training simply. Kubota swallowing ability assessment were used for statistical analysis and clinical efficacy evaluation before and after treatment. Results: 30 patients in the treatment group, 15 cases were clinically effective; 12 cases were effective, the total efficiency was 90.00%. 30 cases in the control group, 7 cases were clinically effective; 14 cases were effective; and the total efficiency; was70.00%(P<0.05). The treatment group was better than the control group. The SWAL-QOL in two groups were significantly improved after treatment(P<0.01); and the treatment group was better(P<0.05). Conclusion: nape acupuncture plus rehabilitation training on dysphagia after radiotherapy for nasopharyngeal carcinoma show a good effect, and is worthy of promotion.
引文
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[10]高维滨,高金立,王鹏,等.项针治疗假性延髓麻痹的临床研究[J].上海针灸杂志,2000,19(06):14-15.
[2]刘诗丹,陈秋华,李荣祝,等.针刺联合康复训练有助于鼻咽癌放疗后吞咽障碍的恢复[J].基因组学与应用生物学,2017,36(09):3629-3634.
[3]王润梅,杨昊,赵半雨.鼻咽癌放射后吞咽困难及张口受限的系统康复治疗与疗效分析[J].康复与保健,2017,8(16):15-16.
[4]王涛,王继英.早期吞咽功能训练对鼻咽癌放射治疗患者功能恢复及生活质量的影响[J].中国肿瘤临床与康复,2016,12(23):251-254.
[5]陈飞宇,刘小平,包烨华,等.“项针”联合康复训练治疗脑卒中后假性球麻痹临床观察[J].上海针灸杂志,2018,2(37):135-136.
[6]顾力华,陈奇刚,石丽琼,等.综合康复治疗脑卒中后吞咽障碍临床观察[J].中国实用神经疾病杂志,2015,18(02):70-71.
[7]赵元琛.推拿结合康复治疗脑卒中后吞咽障碍[J].浙江中西医结合杂志,2015,25(02):180-181.
[8]刘清涛,江晓聪,潘秀花,等.早期个体化吞咽功能康复训练对鼻咽癌放疗患者吞咽功能障碍的影响[J].现代医院,2013,13(08):94-96.
[9]高维滨,杜家忠,唐强,等.项针治疗假性延髓麻痹100例[J].中医药信息,1997,14(02):17.
[10]高维滨,高金立,王鹏,等.项针治疗假性延髓麻痹的临床研究[J].上海针灸杂志,2000,19(06):14-15.