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康复治疗对老年头颈部肿瘤放疗患者营养状态的影响 被引量:3
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作者 尤涛 张向远 +1 位作者 宗敏茹 王剑锋 《国际老年医学杂志》 2018年第5期215-218,共4页
目的探讨康复治疗对老年头颈部肿瘤放疗患者营养状态的影响。方法49例接受根治性放疗的老年头颈部肿瘤患者随机分为康复治疗组(24例)和对照组(25例)。对照组给予常规的健康教育,康复治疗组给予吞咽功能训练、心理疏导和营养指导,... 目的探讨康复治疗对老年头颈部肿瘤放疗患者营养状态的影响。方法49例接受根治性放疗的老年头颈部肿瘤患者随机分为康复治疗组(24例)和对照组(25例)。对照组给予常规的健康教育,康复治疗组给予吞咽功能训练、心理疏导和营养指导,分析比较两组患者在放疗前、放疗结束时、放疗后3个月的体重、血红蛋白、白蛋白、前白蛋白和营养状态。结果放疗结束时与放疗后3个月,对照组的平均体质量低于放疗前和康复治疗组(P〈0.05)。放疗结束时、放疗后3个月,对照组的血红蛋白、白蛋白和前白蛋白均低于放疗前(P〈0.05);放疗结束时,康复治疗组的白蛋白和前白蛋白均低于放疗前,但高于对照组(P〈0.05);放疗后3个月,康复治疗组的血红蛋白、白蛋白和前白蛋白均高于对照组(P〈0.05)。放疗前康复治疗组和对照组营养状况评分≥2分的患者分别为19例(79.2%)和20例(80.0%);放疗结束时、放疗后3个月,对照组的营养状况评分差于放疗前和康复治疗组(P〈0.05);放疗结束时,康复治疗组的营养状况评分差于放疗前(P〈0.05)。结论康复治疗可以改善老年头颈部肿瘤放疗患者的营养状态。 展开更多
关键词 头颈部肿瘤 放疗 老年 康复治疗 营养状态
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Effect of three tongue needles acupoints Lianquan(CV23) and Hegu(LI4) combined with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery
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作者 ZHU Xuewei LIU Minghui +2 位作者 zong minru CHEN Qianqian WANG Jianfeng 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2022年第4期617-621,共5页
OBJECTIVE:To evaluate the effect of acupuncture therapies administered in combination with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery.METHODS:Seventy-one posto... OBJECTIVE:To evaluate the effect of acupuncture therapies administered in combination with swallowing training on the quality of life of laryngeal cancer patients with dysphagia after surgery.METHODS:Seventy-one postoperative patients with laryngeal cancer participated in this study.The patients diagnosed with swallowing dysfunction by video fluoroscopic swallowing examination(VFSE)were randomly divided into experimental group(n=36)and control group(n=35).Patients in both groups were provided swallowing training and rehabilitation consultation.Patients in the experimental group were additionally provided with acupuncture therapies.All patients were evaluated using VFSE and MD Anderson dysphagia inventory(MDADI)and Quality of Life Questionnaire-core 30(QLQ-c30)score immediately after surgery and three months later.RESULTS:The effective rate of 97.1%(n=35)and the complete remission rate of 36.1%(n=13)in the experimental group were higher than those in the control group of 60%(n=21)and 14.3%(n=5)(P<0.01).The scores of VFSE,MDADI and QLQ-c 30 in the experimental group and the control group at three months after therapies were significantly improved compared with those before therapies(P<0.05).The scores of VFSE,MDADI and QLQ-c30 in the experimental group at three months after therapies were significantly improved compared with the control group.The improvement in the intervention group was significantly better than that in the control group.There were no adverse reactions in two groups.CONCLUSIONS:Acupuncture therapies combined with swallowing training can improve the swallowing function and the quality of life of laryngeal cancer patients with dysphagia after surgery. 展开更多
关键词 laryngeal neoplasms deglutition disorders acupuncture swallowing training quality of life
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