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鼻咽癌放疗后张口困难的防治

Prevention of trismus in nasopharyngeal carcinoma patients treated by radiotherapy

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【作者】 赵静刘刚宁博杨朝群

【Author】 ZHAO Jing,LIU Gang,NIN Bo,YANG Chao-qun Department of Radiotherapy,the First Hospital Affiliated to Medicil College of Shihezi University,Shihezi 832008,China

【机构】 新疆石河子大学医学院第一附属医院放疗科

【摘要】 目的:探讨木塞支撑加张口锻炼预防鼻咽癌患者放疗后张口困难的作用。方法:83例经病理确诊为鼻咽癌的初治患者随机分为研究组和对照组,研究组42例,放疗开始即在医护人员的指导下进行木塞支撑加有一定强度的张口功能锻炼;对照组41例没有规定张口强度,仅行一般张口功能锻炼。在放疗前、放疗结束后1个月和以后的每3-6个月对两组患者分别观察门齿距的变化。结果:研究组放疗后张口缩小的程度明显低于对照组,分别为(0.47±0.94)cm、(1.16±0.83)cm,(P<0.01)。结论:在鼻咽癌患者接受放射治疗的同时,行木塞支撑加张口功能锻炼能有效预防放疗所致的张口困难。

【Abstract】 Objective:To analyze the role of wood-stopper to prop add the mouth open training for prevention of trismus in nasopharyngeal carcinoma patients treated by radiotherapy.Methods:All 83 patients with pathologically proven nasopharyngeal carcinoma were randomly divided into two groups:research group and control group.42 patients in research group acceped Wood-stopper to prop and the mouth open functional exercises,41 patients in control group only acceped ordinary exercises of opening mouth.Before radiotherapy and 1 month after treatment and each 3-6 months thereafter observe the variety of fore-tooth distance.Results:The reduction of the distance between the incisors were(0.47±0.94cm) in the training group and(1.16±0.83cm)in control group(P<0.01).Conclusion:Wood-stopper to prop add good functional mouth open training is able to lower the incidence of trismus in NPC patients treated with radiotherapy,good guidance and supervision is necessary.

  • 【文献出处】 现代肿瘤医学 ,Journal of Modern Oncology , 编辑部邮箱 ,2009年05期
  • 【分类号】R739.63
  • 【被引频次】17
  • 【下载频次】205
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