【摘要】 目的 改善头颈部肿瘤放疗患者的吞咽功能、营养状况及生活质量。方法 将46例头颈部肿瘤行放射治疗患者，根据入院时间分为对照组21例，干预组25例。对照组在治疗期间进行常规预防性吞咽训练，干预组在此基础上进行音乐治疗。干预6周后对两组患者吞咽训练依从性、吞咽功能、营养状况和生活质量进行比较。结果 干预组20例、对照组18例完成研究。干预6周后，干预组吞咽功能、训练依从性、营养评分显著优于对照组(均P<0.05);两组患者生活质量比较，差异无统计学意义(P>0.05)。结论 预防性吞咽训练联合音乐治疗可保护患者的吞咽功能，减少营养不良状况的发生。更多还原

【Abstract】 Objective To improve the swallowing function, nutritional status, and quality of life in head and neck cancer patients undergoing radiotherapy.Methods A total of 46 head and neck cancer patients undergoing radiotherapy were divided into a control group(n=21) and an intervention group(n=25) based on their admission time.The control group received routine preventive swallowing training during treatment, while the intervention group received additional music therapy.After 6 weeks of intervention, swallowing training compliance, swallowing function, nutritional status, and quality of life were compared between the two groups.Results Totally, 20 patients in the intervention group and 18 in the control group completed the study.After 6 weeks, the intervention group showed significantly better swallowing function, training compliance, and nutritional scores compared to the control group(all P<0.05).No statistically significant difference was found in quality of life between the two groups(P>0.05).Conclusion Preventive swallowing training combined with music therapy can protect swallowing function and reduce the incidence of malnutrition in these patients.更多还原