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

Clinical effective observation on treating dysphagia after radiotherapy for nasopharyngeal carcinoma by nape acupuncture plus rehabilitation training

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;was 70.00%( 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.