吞咽功能训练用于食管癌胸腔镜术后并发喉返神经损伤所致吞咽障碍的效果评价

Evaluation of the effect of swallowing function training on dysphagia caused by recurrent laryngeal nerve injury after esophageal cancer thoracoscopic surgery

目的探究吞咽功能训练用于食管癌胸腔镜术后并发喉返神经损伤所致吞咽障碍的效果。方法病例选取均源自我院接收的食管癌胸腔镜术后并发喉返神经损伤所致吞咽障碍患者(时间:2020年8月-2021年8月),共纳入64例,以双色球法(紫,绿)进行随机分组,均分至紫-C组与绿-G组;前者予以常规护理干预;后者在常规护理干预基础上实施吞咽功能训练干预;比较两组患者吞咽功能评分(SSA)、进食时平均吞咽时程及平均振幅、并发症发生率。结果护理前,两组患者SSA评分未见统计学差异,不具可比性(t=0.038,P=0.969>0.05),经护理,两组患者SSA评分比较,G组分数更低,差异有统计学意义(t=16.879,P<0.05);护理后,两组患者进食时平均吞咽时程及平均振幅改善情况比较,G组患者改善幅度更大(P<0.05);经护理,G组患者并发症发生率显著低于C组(P<0.05)。结论对食管癌胸腔镜术后并发喉返神经损伤所致吞咽障碍患者实施吞咽功能训练干预效果显著,改善患者吞咽功能,减少吞咽时程,并提升平均振幅,减少患者并发症发生率,值得临床推广。

Objective To explore the effect of swallowing function training on dysphagia caused by recurrent laryngeal nerve injury after esophageal cancer thoracoscopic surgery.Methods The cases were selected from patients with dysphagia caused by recurrent laryngeal nerve injury after esophageal cancer thoracoscopic surgery in our hospital(time:August 2020-August 2021).A total of 64 cases were included.Purple and green)were randomly divided into purple-C group and green-G group;the former received routine nursing intervention;the latter received swallowing function training intervention on the basis of routine nursing intervention;the swallowing function score(SSA)of the two groups of patients was compared.),the average swallowing duration and amplitude during eating,and the incidence of complications.Results Before nursing,there was no statistical difference in the SSA scores of the two groups of patients,and they were not comparable(t=0.038,P=0.969>0.05).After nursing,the SSA scores of the two groups of patients were compared,and the G group score was lower,and the difference was statistically significant After nursing,the average swallowing time course and the average amplitude improvement of the two groups of patients were compared,and the improvement in group G was greater(P<0.05);after nursing,the patients in group G improved more.The incidence of complications was significantly lower than that in group C(P<0.05).Conclusion Swallowing function training intervention for patients with dysphagia caused by recurrent laryngeal nerve injury after esophageal cancer thoracoscopic surgery has a significant effect,improving the patients’swallowing function,reducing the swallowing time course,increasing the average amplitude,and reducing the incidence of complications.clinical promotion.