| 熊 芹,彭书旺,陈 青,涂 丽,倪 娟,李淳丽.舌压抗阻反馈训练联合吞咽功能训练对甲状腺癌根治术后吞咽功能障碍患者的影响研究[J].,2023,(3):593-596 |
| 舌压抗阻反馈训练联合吞咽功能训练对甲状腺癌根治术后吞咽功能障碍患者的影响研究 |
| Effect Study of Tongue Pressure Resistance Feedback Training Combined with Swallowing Function Training on Patients with Swallowing Dysfunction after Radical Thyroidectomy |
| 投稿时间：2022-05-27 修订日期：2022-06-23 |
| DOI：10.13241/j.cnki.pmb.2023.03.039 |
| 中文关键词: 甲状腺癌根治术 吞咽功能训练 舌压抗阻反馈训练 吞咽功能障碍 |
| 英文关键词: Radical thyroidectomy Swallowing function training Tongue pressure resistance feedback training Swallowing dysfunction |
| 基金项目:湖南省卫健委科研计划项目（202104010382） |
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| 中文摘要: |
| 摘要 目的：观察吞咽功能训练与舌压抗阻反馈训练联合应用对甲状腺癌根治术后吞咽功能障碍患者的影响。方法：选取2020年6月~2022年1月期间来湖南中医药大学第一附属医院接受诊治的100例甲状腺癌根治术后吞咽功能障碍患者，根据随机数字表法分为研究组（接受舌压抗阻反馈训练联合吞咽功能训练干预，n=50）、对照组（接受吞咽功能训练干预，n=50）。观察两组疗效、表面肌电图相关指标、吞咽障碍相关评分及并发症。结果：与对照组比较，研究组的临床总有效率较高（P<0.05），并发症发生率较低（P<0.05）。干预1个月后，两组洼田饮水试验（WST）评分下降，吞咽功能（VFSS）、吞咽障碍特异性生活质量量表（SWAL-QOL）评分升高，研究组的变化程度大于对照组（P<0.05）。干预1个月后，两组吞咽时程缩短，最大波幅值升高，研究组的变化程度大于对照组（P<0.05）。结论：甲状腺癌根治术后吞咽功能障碍患者采用吞咽功能训练与舌压抗阻反馈训练联合干预，可缓解临床症状，提高治疗效果，降低并发症发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effect of swallowing function training combined with tongue pressure resistance feedback training on patients with swallowing dysfunction after radical thyroidectomy. Methods: 100 patients with swallowing dysfunction after radical thyroidectomy from June 2020 to January 2022 who were treated in The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine were selected, and they were divided into study group (receiving tongue pressure resistance feedback training combined with swallowing function training intervention, n=50) and control group (receiving swallowing function training intervention, n=50) according to the random number table method. The curative effect, surface electromyogram related indexes, dysphagia related scores and complications were observed between the two groups. Results: Compared with the control group, the total clinical effective rate in the study group was higher(P<0.05), and the incidence of complications was lower (P<0.05). 1 month after intervention, the scores of water swallowing test (WST) decreased, and the scores of video fluoroscopic swallowing study (VFSS) and swallowing quality of life questionnaire (SWAL-QOL) increased in the two groups, and the degree of change in the study group was greater than that in the control group (P<0.05). 1 month after intervention, the swallowing duration was shortened, and the maximum amplitude was increased in the two groups, and the degree of change of the study group was greater than that of the control group (P<0.05). Conclusion: The combined intervention of swallowing function training and tongue pressure resistance feedback training in patients with swallowing dysfunction after radical thyroidectomy can alleviate clinical symptoms, improve the treatment effect, and reduce the incidence of complications. |
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