Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan.
School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan.
Head Neck. 2023 Jul;45(7):1632-1642. doi: 10.1002/hed.27373. Epub 2023 May 8.
This study aimed to describe and explore the longitudinal changes in swallowing function among patients with oral cancer who underwent surgery and proactive swallowing therapy from baseline to 1-year postoperation.
We retrospectively studied 118 patients over a 4.5-year duration. Swallowing functional assessment including 10-item Eating Assessment Tool (EAT-10), Functional Oral Intake Scale (FOIS), M. D. Anderson Dysphagia Inventory, and Modified Barium Swallow Impairment Profile (MBSImP™) was performed at baseline, 1-month, 6-month, and 1-year postoperatively.
All swallowing parameters worsened 1-month postoperation. EAT-10, FOIS, and MBSImP™ oral and pharyngeal impairment scores improved significantly compared with 1-month postoperation at 6 months. Other swallowing parameters, except for weight, did not differ significantly from baseline at 6 months. The rate of tube-feeding dependency was 11.5% and 5.6% at 1 and 6 months postoperation, respectively.
Periodic swallowing functional assessments help delineate the longitudinal changes in swallowing functional outcomes.
本研究旨在描述和探讨口腔癌患者术后进行积极吞咽治疗的纵向吞咽功能变化，从基线到术后 1 年。
我们回顾性研究了 118 例患者，历时 4.5 年。在基线、术后 1 个月、6 个月和 1 年时进行吞咽功能评估，包括 10 项饮食评估工具（EAT-10）、功能性口腔摄入量表（FOIS）、MD 安德森吞咽障碍量表和改良巴氏吞咽障碍评定量表（MBSImP™）。
所有吞咽参数在术后 1 个月时均恶化。EAT-10、FOIS 和 MBSImP™口腔和咽部损伤评分与术后 1 个月相比，在术后 6 个月时显著改善。其他吞咽参数除体重外，与术后 6 个月时的基线相比无显著差异。术后 1 个月和 6 个月时，管饲依赖率分别为 11.5%和 5.6%。
定期进行吞咽功能评估有助于描绘吞咽功能结果的纵向变化。
