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目的探讨吞咽肌群训练在预防鼻咽癌放射治疗后吞咽障碍的应用效果。方法选取2015年1月至2016年1月间海南省人民医院收治的88例鼻咽癌放射治疗患者。采用随机数字表法分为研究组与对照组,每组44例。两组患者均接受放射治疗,研究组患者在放射治疗开始后即实施吞咽肌群训练预防鼻咽癌放射治疗后吞咽障碍。对照组患者未采取系统化吞咽功能训练干预,仅采取常规护理措施。结果研究组患者吞咽障碍发生率为6.8%,低于对照组患者的25.0%,差异有统计学意义(P<0.05)。研究组患者吸入性肺炎发生率为2.3%,低于对照组患者的18.2%,差异有统计学意义(P<0.05)。结论吞咽肌群训练可有效预防鼻咽癌放射治疗后吞咽障碍的发生,降低吸入性肺炎发生率,效果显著,适于临床推广。
Objective To investigate the effect of swallowing muscle group training on the prevention of swallowing disorders after radiotherapy of nasopharyngeal carcinoma. Methods From January 2015 to January 2016, 88 cases of NPC patients undergoing radiotherapy were enrolled in Hainan Provincial People’s Hospital. Using random number table divided into study group and control group, 44 cases in each group. Both groups received radiation therapy. Patients in the study group performed swallowing muscle group training to prevent swallowing after radiotherapy of nasopharyngeal carcinoma. Patients in the control group did not take systematic swallowing functional training intervention, only take routine nursing interventions. Results The incidence of dysphagia in the study group was 6.8%, which was lower than that in the control group (25.0%), the difference was statistically significant (P <0.05). The incidence of aspiration pneumonia in the study group was 2.3%, which was lower than that in the control group (18.2%) (P <0.05). Conclusion Swallowing muscle group training can effectively prevent the occurrence of swallowing disorder after radiotherapy of nasopharyngeal carcinoma and reduce the incidence of aspiration pneumonia, the effect is significant and is suitable for clinical promotion.