Evaluation of application effect of personalized swallowing function rehabilitation training in patients with swallowing dysfunction after free flap transplantation for oral cancer
Objective To analyze the application effect of personalized swallowing function rehabilitation training in patients with swallowing dysfunction after free flap transplantation for oral cancer.Methods 62 swallowing dysfunction after free flap transplantation for oral cancer were enrolled,and randomly divided into a study group and a control group,with 31 patients in each group.The control group received routine intervention after surgery,while the study group underwent personalized swallowing function rehabilitation training based on the control group.Both groups were compared in terms of Mann assessment of swallowing ability-oral cancer(MASA-OC)score at different time points,time to nasogastric tube removal,and hospital stay,and serum nutrition indicators at different time points.Results There was no statistically significant difference in MASA-OC scores between the two groups at 1 d postoperatively(P>0.05).The MASA-OC scores at 7 d,2 weeks and 4 weeks postoperatively were(90.4±10.6),(101.6±7.3)and(113.7±6.6)points in the study group,which were significantly higher than(83.2±12.7),(95.1±9.0),and(102.8±8.4)points in the control group(P<0.05).In the study group,the time to nasogastric tube removal was(9.4±3.1)d,and the hospital stay was(13.8±4.2)d,which were shorter than(13.2±4.6)and(16.2±5.1)d in the control group(P<0.05).There was no statistical difference in the comparison of serum prealbumin(PA),albumin(ALB)and hemoglobin(HGB)levels between the two groups at 1 d postoperatively(P>0.05).At 4 weeks postoperatively,the study group had serum PA of(274.9±65.1)mg/L,ALB of(44.2±5.6)g/L and HGB of(136.9±15.3)g/L,which were higher than(231.6±59.0)mg/L,(38.1±5.3)g/L,and(127.6±13.5)g/L in the control group(P<0.05).Conclusion Personalized swallowing function rehabilitation training can promote the recovery of postoperative swallowing function of patients with swallowing dysfunction after free flap transplantation for oral cancer,improve nutritional status,and accelerate postoperative rehabilitation.
Oral cancerFree flap transplantationSwallowing dysfunctionPersonalized swallowing function rehabilitation trainingNasogastric tubeNutrition
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