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比较吞咽和非吞咽练习对口腔癌术后吞咽困难的影响:一项对照研究。

To Compare the Effect of Swallowing and Non-Swallowing Exercises on Dysphagia in Post Operative Oral Cancer Individuals: A Comparative Study.

机构信息

BPT/ MPT (Oncology), Physiotherapy, Krishna Vishwa Vidyapeeth, Karad, Maharashtra, India.

出版信息

Asian Pac J Cancer Prev. 2024 Aug 1;25(8):2945-2949. doi: 10.31557/APJCP.2024.25.8.2945.

Abstract

PRIMARY OBJECTIVE

To find out the effect of Swallowing and Non-Swallowing Exercises on Dysphagia in Post-Operative Oral Cancer individuals.

SECONDARY OBJECTIVE

To compare the effect of Swallowing and Non-Swallowing Exercises on Dysphagia on Quality of Life in Post-Operative Oral Cancer individuals.

METHODS

The study was conducted in Krishna Hospital Karad where 66 participants with post-operative oral cancer were selected according to the inclusion criteria. Simple random sampling was used to allocate the subjects into Group A (n=33) (non-swallowing exercises) & Group B (n=33) (swallowing exercises). The subjects performed respective exercises for 5 weeks. Pre & post assessment was performed by the outcome measures.

RESULTS

Using paired t test both the Groups demonstrated significant results with all the outcome measures MWST with p<0.0001, MDADI with p<0.0001 and FACT H&N with p<0.0001 respectively concluding extremely significant results. Unpaired t test analysis for MWST, MDADI & FACT H&N of group A showed extremely significant mean difference as compare to group B with p<0.0001.

CONCLUSION

This study concluded that both swallowing and non-swallowing exercises are beneficial for dysphagia in post-operative oral cancer individuals, but the Non-Swallowing Exercises were more effective.

摘要

主要目标

了解吞咽和非吞咽练习对口腔癌术后患者吞咽困难的影响。

次要目标

比较吞咽和非吞咽练习对口腔癌术后患者吞咽困难对生活质量的影响。

方法

本研究在 Karad 的 Krishna 医院进行,根据纳入标准选择了 66 名术后口腔癌患者。采用简单随机抽样将受试者分配到 A 组(n=33)(非吞咽练习)和 B 组(n=33)(吞咽练习)。受试者分别进行了 5 周的练习。采用结局测量进行了预评估和后评估。

结果

使用配对 t 检验,两组均表现出显著的结果,所有结局测量MWST 的 p 值均<0.0001、MDADI 的 p 值均<0.0001 和 FACT H&N 的 p 值均<0.0001,结论为非常显著。MWST、MDADI 和 FACT H&N 的非配对 t 检验分析表明,与 B 组相比,A 组的平均差异具有非常显著的意义,p 值均<0.0001。

结论

这项研究表明,吞咽和非吞咽练习对口腔癌术后患者的吞咽困难都有益,但非吞咽练习更有效。

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Epidemiological Aspects of Oral Cancer in North Indian Population.北印度人群口腔癌的流行病学特征
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):944-948. doi: 10.1007/s12070-019-01629-7. Epub 2019 Mar 14.
6
Worldwide trends in incidence rates for oral cavity and oropharyngeal cancers.全球口腔和口咽癌发病率趋势。
J Clin Oncol. 2013 Dec 20;31(36):4550-9. doi: 10.1200/JCO.2013.50.3870. Epub 2013 Nov 18.
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Cancer mortality in India: a nationally representative survey.印度的癌症死亡率:一项全国代表性调查。
Lancet. 2012 May 12;379(9828):1807-16. doi: 10.1016/S0140-6736(12)60358-4. Epub 2012 Mar 28.

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