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胸部物理治疗在提高牙龈颊沟癌合并脓胸术后患者生活质量中的作用:一例报告

The Role of Chest Physiotherapy in Enhancing Quality of Life in a Postoperative Patient With Gingivobuccal Sulcus Carcinoma and Empyema: A Case Report.

作者信息

Qureshi Muskan, Lalwani Lajwanti, Aherrao Samruddhi

机构信息

Cardiorespiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 30;16(9):e70492. doi: 10.7759/cureus.70492. eCollection 2024 Sep.

DOI:10.7759/cureus.70492
PMID:39479068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524652/
Abstract

Gingivobuccal cancer encompasses a group of malignancies that affect the alveolus, retromolar trigone, buccal mucosa, and gingivobuccal sulcus (GBS). Among these, GBS carcinoma is the most prevalent malignant tumor found in the oral cavity. We present the case of a 56-year-old male who experienced pain in his right cheek for two months and was subsequently diagnosed with GBS cancer in the right buccal region, leading to surgical intervention. After one month, the patient was referred to chest physiotherapy due to complaints of cough with secretion and breathlessness. The chest physiotherapy protocol included deep breathing exercises, segmental breathing, and the Active Cycle of Breathing Technique, among others. Outcome measures used to assess progress included the Modified Medical Research Council Scale, Numeric Pain Rating Scale, 6-Minute Walk Test, and Short Form 36. The accompanying physiotherapy protocol demonstrated a positive effect on improving the patient's quality of life, functional capacity, and exercise performance.

摘要

龈颊癌包括一组影响牙槽、磨牙后三角、颊黏膜和龈颊沟(GBS)的恶性肿瘤。其中,GBS癌是口腔中最常见的恶性肿瘤。我们报告一例56岁男性病例,该患者右脸颊疼痛两个月,随后被诊断为右侧颊部GBS癌,并接受了手术干预。一个月后,患者因咳嗽伴分泌物及呼吸困难的主诉被转诊至胸部物理治疗。胸部物理治疗方案包括深呼吸练习、节段性呼吸和主动呼吸循环技术等。用于评估进展的结果指标包括改良医学研究委员会量表、数字疼痛评分量表、6分钟步行试验和简明健康状况调查量表36项。所采用的物理治疗方案对改善患者的生活质量、功能能力和运动表现产生了积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28df/11524652/6eb8709417a3/cureus-0016-00000070492-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28df/11524652/fc8931d8fa35/cureus-0016-00000070492-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28df/11524652/6eb8709417a3/cureus-0016-00000070492-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28df/11524652/fc8931d8fa35/cureus-0016-00000070492-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28df/11524652/6eb8709417a3/cureus-0016-00000070492-i02.jpg

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本文引用的文献

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Physiotherapy for Trismus Using Rocabado Exercises Following Mandibulectomy for Squamous Cell Carcinoma of the Lower Lip: A Case Report.下唇鳞状细胞癌下颌骨切除术后采用罗卡巴多运动疗法治疗牙关紧闭:一例报告
Cureus. 2022 Nov 9;14(11):e31293. doi: 10.7759/cureus.31293. eCollection 2022 Nov.
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Regular, sustained-release morphine for chronic breathlessness: a multicentre, double-blind, randomised, placebo-controlled trial.
常规、持续释放吗啡治疗慢性呼吸困难:一项多中心、双盲、随机、安慰剂对照试验。
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Invasion of the mandible in gingivobuccal complex cancers: Histopathological analysis of routes of tumour entry and correlation with preoperative assessment.牙龈颊复合体癌侵犯下颌骨:肿瘤入口途径的组织病理学分析及其与术前评估的相关性。
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