《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (01): 58-59.

• 临床研究 • 上一篇    下一篇

吞咽训练配合针灸治疗鼻咽癌放疗后吞咽障碍

周惠嫦; 张盘德   

  1. 佛山市第一人民医院康复科 广东佛山市 528000
  • 收稿日期:2005-10-08 出版日期:2006-01-25 发布日期:2006-01-25

Effect of swallowing training combined with acupuncture on dysphagia in nasopharyngeal carcinoma after radiotherapy

ZHOU Hui-chang, ZHANG Pan-de   

  1. Department of Rehabilitation, the First People's Hospital of Foshan, Foshan 528000, Guangdong, Chi na
  • Received:2005-10-08 Published:2006-01-25 Online:2006-01-25

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被引次数

31

摘要： 目的探讨吞咽训练配合针灸治疗鼻咽癌放疗后吞咽障碍的疗效。方法38例鼻咽癌放疗所致的吞咽障碍患者分为综合治疗组和针灸组,综合治疗组接受针灸和吞咽训练,针灸组仅接受针灸治疗,以饮水试验和X线动态造影录像检查来评价疗效。结果治疗后,两组饮水试验评分均明显改善(P<0.01),但综合治疗组优于针灸组(P<0.05)。X线动态造影录像检查评定两组治愈率分别为70.0%和38.9%,无显著性差异(P=0.089)。结论吞咽训练加针灸能提高鼻咽癌放疗后吞咽障碍患者的吞咽能力,效果优于单纯针灸治疗。

关键词: 鼻咽癌, 吞咽障碍, 吞咽训练, 针灸

Abstract: ObjectiveTo evaluated the effect of swallowing training and acupuncture on dysphagia in nasopharyngeal carcinoma after radiotherapy.MethodsThirty-eight post-radiotherapeutic nasopharyngeal carcinoma patients were divided into 2 groups: comprehensive group (n=20) were treated with swallowing training and acupuncture therapy, acupuncture group (n=18) were treated with acupuncture only. The patients were assessed with water-swallow test and videofluoroscopy (VFS) before and after treatment.ResultsBoth groups improved their score of water-swallow test after treatment (P<0.01), but the scores of comprehensive group were better than that of acupuncture group(P<0.05).Under the VFS, the cure rate was 70.0% or 38.9% respectively(P=0.089). ConclusionSwallowing training can improve the swallow ability of bulbar palsy patients.

Key words: nasopharyngeal carcinoma, dysphagia, swallowing training, acupuncture