目的:探讨吞咽功能训练对口腔癌术后轻中度吞咽障碍患者咽腔收缩率、咽期活动水平的影响。方法:选取我科2019年6月至2021年6月期间收治的113例口腔癌术后轻中度吞咽障碍患者,采用随机数字表法分组,对照组56例给予摄食细节管理,观察组57...目的:探讨吞咽功能训练对口腔癌术后轻中度吞咽障碍患者咽腔收缩率、咽期活动水平的影响。方法:选取我科2019年6月至2021年6月期间收治的113例口腔癌术后轻中度吞咽障碍患者,采用随机数字表法分组,对照组56例给予摄食细节管理,观察组57例在此基础上给予联合吞咽功能训练,采用吞咽造影评估两组患者咽期活动,包括食管上括约肌(Upper esophageal sphincter,UES)完全开放率和咽期通过时间(Passage time of pharyngeal stage,PTT);对患者吞咽动作进行特殊造影,计算吞咽清流质、浓流质的咽腔收缩率;采用全自动生化分析仪分析营养指标,包括前白蛋白(Prealbumin,PA)、白蛋白(Albumin,Alb)和血红蛋白(Hemoglobin,Hb)水平;4 w后,对比两组患者咽期活动,咽腔收缩率,营养状况及术后并发症发生率。结果:观察组干预后UES完全开放率高于对照组,PTT低于对照组(P<0.05);观察组干预后,清流质、浓流质咽腔收缩率均低于对照组(P<0.05);观察组干预后,PA、Alb、Hb水平均高于对照组(P<0.05);两组患者肺部感染发生率差异无统计学意义(P>0.05);观察组误吸发生率低于对照组(χ^(2)=4.1379,P<0.05)。结论:基于摄食细节管理的吞咽功能训练能够提高口腔癌术后轻中度吞咽障碍患者吞咽功能,改善营养状况。展开更多
We report a cubic boron nitride(c-BN)film with low stress.Infrared(IR)peak position of c-BN at 1006.3cm-1measured by IR spectroscopy shows that the c-BN film has very low internal stress which leads to an excellent ad...We report a cubic boron nitride(c-BN)film with low stress.Infrared(IR)peak position of c-BN at 1006.3cm-1measured by IR spectroscopy shows that the c-BN film has very low internal stress which leads to an excellent adhesion.Transmission electron microscope micrograph indicates the only BN phase on the surface of the film is c-BN phase.It is clearly seen from IR spectra that the intermediate layer between the substrate and the c-BN layer is of the molecular crystal explosion boron nitride,hexagonal boron nitride,and wurtzic boron nitride.展开更多
文摘目的:探讨吞咽功能训练对口腔癌术后轻中度吞咽障碍患者咽腔收缩率、咽期活动水平的影响。方法:选取我科2019年6月至2021年6月期间收治的113例口腔癌术后轻中度吞咽障碍患者,采用随机数字表法分组,对照组56例给予摄食细节管理,观察组57例在此基础上给予联合吞咽功能训练,采用吞咽造影评估两组患者咽期活动,包括食管上括约肌(Upper esophageal sphincter,UES)完全开放率和咽期通过时间(Passage time of pharyngeal stage,PTT);对患者吞咽动作进行特殊造影,计算吞咽清流质、浓流质的咽腔收缩率;采用全自动生化分析仪分析营养指标,包括前白蛋白(Prealbumin,PA)、白蛋白(Albumin,Alb)和血红蛋白(Hemoglobin,Hb)水平;4 w后,对比两组患者咽期活动,咽腔收缩率,营养状况及术后并发症发生率。结果:观察组干预后UES完全开放率高于对照组,PTT低于对照组(P<0.05);观察组干预后,清流质、浓流质咽腔收缩率均低于对照组(P<0.05);观察组干预后,PA、Alb、Hb水平均高于对照组(P<0.05);两组患者肺部感染发生率差异无统计学意义(P>0.05);观察组误吸发生率低于对照组(χ^(2)=4.1379,P<0.05)。结论:基于摄食细节管理的吞咽功能训练能够提高口腔癌术后轻中度吞咽障碍患者吞咽功能,改善营养状况。
基金Supported by the National Natural Science Foundation of China under Grant Nos.59831040 and 19774025the Jilin Province Science and Technology Foundation.
文摘We report a cubic boron nitride(c-BN)film with low stress.Infrared(IR)peak position of c-BN at 1006.3cm-1measured by IR spectroscopy shows that the c-BN film has very low internal stress which leads to an excellent adhesion.Transmission electron microscope micrograph indicates the only BN phase on the surface of the film is c-BN phase.It is clearly seen from IR spectra that the intermediate layer between the substrate and the c-BN layer is of the molecular crystal explosion boron nitride,hexagonal boron nitride,and wurtzic boron nitride.
