经改良容积粘度试验介导的早期摄食训练在喉癌术后吞咽障碍患者中的应用

Early feeding training mediated by modified volume-viscosity swallow test in patients with dysphagia after surgery for laryngeal cancer

目的探讨经改良容积粘度试验介导的早期摄食训练在喉癌术后吞咽障碍患者中的应用。方法选取2018年7月至2020年10月间空军军医大学第二附属医院收治的90例喉癌术后吞咽障碍患者为研究对象,将患者按就诊顺序生成随机号,再将随机号分为对照组与观察组,每组45例。对照组患者病情稳定后早期进行常规的吞咽功能训练,观察组患者在此基础上实施经改良容积粘度试验介导的早期摄食训练,对比两组患者吞咽障碍评分情况及生活质量改善情况。结果观察组干预后咽功能评分为(24.08±1.31)分,低于对照组(28.12±1.42)分,差异有统计学意义(P<0.05)。观察组干预后生活质量评分为(200.59±16.23)分,高于对照组(185.41±15.45)分,差异有统计学意义(P<0.05)。结论对喉癌术后存在吞咽障碍的患者,实施经改良容积粘度试验介导的早期摄食训练,使患者掌握正确的吞咽方法,以改善其吞咽障碍,使生活质量得到一定程度的提升。

Objective To explore the application of early feeding training mediated by modified volume-viscosity swallow test in patients with dysphagia after surgery for laryngeal cancer.Methods From July 2018 to October 2020,90 patients with dysphagia after surgery for laryngeal cancer were selected at Shaanxi Air Force Medical University Affiliated Second Hospital.The patients were randomly assigned to and observation group and a control group based on their visit sequences with 45 patients in each group.The the observation group performed early feeding training mediated by the modified volume-viscosity swallow test and the control group received early conventional swallowing training after the disease was stabilized.The scores of dysphagia and the improvement of quality of life were compared between the two groups.Results The pharyngeal function score was 24.08±1.31 points in the observation group after intervention,which was significantly lower than 28.12±1.42 points of the control group(P<0.05).Quality of life score after intervention was 200.59±16.23 points in the observation group,which was significantly higher than 185.41±15.45 points of the control group(P<0.05).Conclusion For patients with dysphagia after surgery for laryngeal cancer,early feeding training mediated by modified volume-viscosity swallow test enables patients to master the correct swallowing method to improve their dysphagia and quality of life to a certain extent.