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论著·临床研究 | 更新时间:2025-06-03
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自主张口锻炼联合多功能开口训练装置在鼻咽癌放射治疗患者中的应用效果
Application effect of independent mouth⁃opening exercise combined with multifunctional mouth⁃opening training device in patients with radiotherapy for nasopharyngeal carcinoma

广西医学 页码:536-542

作者机构:严香凤,本科,主管护师,研究方向为肿瘤护理。

基金信息:广西高校中青年教师科研基础能力提升项目(2021KY0126);广西医科大学第一附属医院护理临床研究攀登计划创新项目(YYZS2021006);广西医疗卫生适宜技术开发与推广应用项目(S2023075);广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210005)

DOI:10.11675/j.issn.0253⁃4304.2025.04.08

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  • 英文简介
  • 参考文献

目的 探讨自主张口锻炼联合多功能开口训练装置辅助张口锻炼在鼻咽癌放射治疗(简称放疗)患者中的应用效果。方法 选取90例接受放疗的鼻咽癌患者作为研究对象,将其随机分为A组、B组、C组,各30例。A组采用自主张口锻炼;B组采用多功能开口训练装置辅助张口锻炼;C组采用自主张口锻炼联合多功能开口训练装置辅助张口锻炼。比较3组患者放疗前、放疗结束时及放疗结束后3个月、6个月、12个月张口锻炼的依从性、门齿间距及张口困难程度。结果 放疗结束时及放疗结束后3个月、6个月、12个月,A组、B组、C组患者张口锻炼依从性依次升高,门齿间距依次增大(P<0.05);放疗结束后12个月,A组、B组、C组患者张口困难程度依次减轻(P<0.05)。结论 自主张口锻炼联合多功能开口训练装置辅助张口锻炼可提高鼻咽癌放疗患者张口锻炼依从性,预防门齿间距变窄,降低其张口困难发生率,有助于提高患者远期生活质量。

Objective To explore the application effect of independent mouth⁃opening exercise combined with multifunctional mouth⁃opening training device in patients with radiotherapy for nasopharyngeal carcinoma. Methods A total of 90 patients with nasopharyngeal carcinoma receiving radiotherapy were selected as the research subjects, and they were randomly divided into group A, group B, or group C, with 30 cases in each group. Group A adopted independent mouth⁃opening exercise, group B received mouth⁃opening exercise assisted by multifunctional mouth⁃opening training device, whereas group C accepted independent mouth⁃opening exercise combined with mouth⁃opening exercise assisted by multifunctional mouth⁃opening training device. The compliance of mouth⁃opening exercise, inter⁃incisors distance, and the difficulty of mouth⁃opening were compared between patients of the three groups before radiotherapy, at the end of radiotherapy, and 3, 6, and 12 months after radiotherapy. Results At the end of radiotherapy and 3, 6 and 12 months after radiotherapy, the compliance of mouth⁃opening exercise was successively elevated, and inter⁃incisor distance was enlarged successively in patients of group A, group B, and group C (P<0.05). At 12 months after radiotherapy, the difficulty in mouth⁃opening of patients in group A, group B, and group C decreased successively (P<0.05). Conclusion independent mouth⁃opening exercise combined with mouth⁃opening exercise assisted by multifunctional mouth⁃opening training device can improve the compliance of mouth⁃opening exercise in patients with radiotherapy for nasopharyngeal carcinoma, prevent narrowing of inter⁃incisor distance, decrease the incidence rate of difficulty in mouth⁃opening, and is helpful to improve long⁃term quality of life in patients.

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