三种舌针穴位廉泉（CV23）和合谷（LI4）联合吞咽训练对喉癌术后吞咽困难患者生活质量的影响。
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.
机构信息
Department of otolaryngology head and neck surgery,China-Japan Union Hospital of Jilin University, Changchun 130033, China.
Department of Chinese traditional Medicine, China-Japan Union Hospital of Jilin University, Changchun 130033, China.
出版信息
J Tradit Chin Med. 2022 Aug;42(4):617-621. doi: 10.19852/j.cnki.jtcm.20220516.004.
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.
目的
评价针刺疗法联合吞咽训练对喉癌术后吞咽困难患者生活质量的影响。
方法
将 71 例术后喉癌患者采用视频荧光吞咽检查（VFSE）诊断为吞咽功能障碍的患者随机分为实验组（n=36）和对照组（n=35）。两组患者均给予吞咽训练和康复咨询。实验组患者加用针刺治疗。所有患者均于术后即刻和 3 个月后采用 VFSE 和 MD 安德森吞咽障碍指数（MDADI）、生活质量核心问卷 30 项（QLQ-c30）评分进行评估。
结果
实验组有效率为 97.1%（n=35），完全缓解率为 36.1%（n=13），均高于对照组的 60%（n=21）和 14.3%（n=5）（P＜0.01）。治疗 3 个月后，实验组和对照组 VFSE、MDADI 和 QLQ-c30 评分均明显高于治疗前（P＜0.05），实验组治疗 3 个月后 VFSE、MDADI 和 QLQ-c30 评分明显高于对照组，实验组的改善明显优于对照组。两组均无不良反应。
结论
针刺疗法联合吞咽训练可改善喉癌术后吞咽困难患者的吞咽功能和生活质量。
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