Objective To explore the effect of swallowing training on dysphagia in patients with head and neck neoplasm receiving ra-diotherapy. Methods 60 patients with head and neck neoplasm receiving radiotherapy from March, 2014 to August, 2015 were divided into intervention group (n=30) and control group (n=30) randomly. The control group received routine nursing and relevant health education, while the intervention group received swallowing training from 2 weeks before to 3 months after radiotherapy. They were assessed with Functional Oral Intake Scale and M. D. Anderson Dysphagia Inventory 1 week, 3 months after radiotherapy. Results The scores of Function-al Oral Intake Scale (Z=-3.195, P<0.01), the total score of M. D. Anderson Dysphagia Inventory and the subscores (t>4.385, P<0.01) were better in the intervention group than in the control group 1 week after radiotherapy, as well as 3 months after radiotherapy (Z=-4.436, P<0.01;t>5.361, P<0.01). Conclusion Swallowing training could improve the condition of dysphagia of head and neck neoplasm patients after radiotherapy.%目的 探讨吞咽功能训练对头颈部肿瘤放射治疗患者吞咽困难的干预效果.方法 2014年3月~2015年8月60例头颈部肿瘤患者随机分为干预组和对照组,每组各30例.对照组接受常规护理及相关健康教育,干预组在此基础上于放射治疗前2周至放射治疗结束后3个月进行吞咽功能训练.放射治疗结束后1周、3个月采用功能性经口摄食量表、安德森吞咽困难量表进行评价.结果 放射治疗结束后1周,干预组患者功能性经口摄食量表得分(Z=-3.195,P<0.01)、安德森吞咽困难量表总分及各维度评分(t>4.385,P<0.001)明显优于对照组.放射治疗结束后3个月,干预组患者功能性经口摄食量表得分(Z=-4.436,P<0.01)、安德森吞咽困难量表总分及各维度评分(t>5.361,P<0.001)明显优于对照组.结论 吞咽功能训练可改善头颈部肿瘤患者放射治疗引起的吞咽困难.
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