谢纯青,武惠香,万桂芳,等.鼻咽癌放疗术后吞咽障碍患者的吞咽造影影像学研究[J].中华物理医学与康复杂志,2019,41(3):170-173
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| 鼻咽癌放疗术后吞咽障碍患者的吞咽造影影像学研究 |
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| DOI：DOI:10.3760/cma.j.issn.0254-1424.2019.03.002 |
| 中文关键词: 鼻咽癌放疗 吞咽障碍 吞咽造影 |
| 英文关键词: Nasopharyngeal carcinoma Radiotherapy Swallowing Videofluoroscopy |
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| 中文摘要: |
| 目的 观察鼻咽癌放疗术后患者吞咽障碍的吞咽造影表现及不同性状食物对其吞咽功能的影响。 方法 选取20例鼻咽癌放疗后吞咽障碍患者进行吞咽造影检查，患者进食3种不同粘稠度的对比剂，观察其吞咽功能情况并分析不同性状对比剂对其吞咽功能的影响。观察指标包括口腔运送时间、口腔残留量、咽部残留量、渗漏误吸分级、环咽肌开放率。 结果 患者进食3种食物的各项观察指标比较，差异均有统计学意义（P<0.05）。两两比较中，患者进食稀流质与糊状食物比较，各项观察指标的差异均有统计学意义（P<0.05），进食浓流质与糊状食物的各项观察指标比较，差异均有统计学意义（P<0.05），患者进食稀流质与浓流质比较，口腔运送时间、口腔残留量和咽部残留量的差异有统计学意义（P<0.05）。 结论 鼻咽癌放疗后吞咽障碍患者的吞咽功能严重程度不一，不同食物性状对其吞咽功能的影响也不同，吞咽造影检查可以客观评价患者的吞咽功能，并为选择食物提供客观依据。 |
| 英文摘要: |
| Objective To evaluate the effect of radiotherapy on the swallowing ability of persons with nasopharyngeal carcinoma (NPC) when swallowing food with different consistencies. Methods Twenty NPC patients were monitored fluoroscopically while swallowing materials with three different consistencies after radiotherapy. The oral transit time, oral residue, pharyngeal residue, penetration-aspiration and cricopharyngeal muscle function were observed. Results There were significant differences in all of the measurements when swallowing the three different foods. There were significant differences in all of the measurements between swallowing paste and liquids, but only in the oral transit time, oral residue and pharyngeal residue between swallowing thin and thick liquids. Conclusions The severity of swallowing dysfunction varies in NPC patients after radiotherapy. Foods with different consistencies have different effects on swallowing ability. Videofluoroscopy can evaluate swallowing objectively and provide an objective basis for food preparation. |
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