鼻咽癌放射治疗后吞咽困难的早期康复介入

Early rehabilitation intervention in nasopharyngeal cancer patients with dysphagia after radiotherapy

目的探讨早期康复介入对鼻咽癌放疗后吞咽困难的治疗效果。方法将63例鼻咽癌放射治疗后存在轻微吞咽困难的患者,随机分为实验组和对照组,其中实验组34例,对照组29例。2组均给予一般药物处理及常规护理,实验组还根据不同问题有针对性地、按需进行康复训练及护理指导1～3个月。2组均在3个月后进行疗效判断。结果治疗有效率实验组为76.47%、对照组为31.03%,差异有统计学意义(P<0.05)。结论鼻咽癌放疗后吞咽困难的早期康复介入,对改善吞咽问题,防止或延缓吞咽困难的进展有积极作用。

Objective To observe the effect of early rehabilitation intervention in nasopharyngeal cancer patients with dysphagia after radiotherapy. Methods 63 nasopharyngeal cancer patients who had insignificant deglntition problems after radiotherapy were randomly divided into trial group with 34 cases and control group with 29.In addition to rational medication,The trial group was given required rehabilitation and nursing training direct for 1 to 3 months.The curative effects of the groups were observed after 3 months. Results The efficacy rate in trial group was 76.47%,while 31.03% in control group.The differences has statistics significance（P〈0.05）. Conclu- sion Early rehabilitation intervention may help nasopharyngeal cancer patients with dysphagia to improve deglutition problems, prevent or delay the progress of dysphagia after radiotherapy.