吞咽训练预防食管吻合口狭窄的疗效分析.docVIP

吞咽训练预防食管吻合口狭窄的疗效分析 　　【摘要】 目的：观察吞咽训练预防食管癌术后食管吻合口狭窄的疗效。方法：对160例食管癌术后患者按照随机数字表法分为治疗组及对照组，每组80例。治疗组患者进食软食后开始进行吞咽训练，每天训练2组吞咽活动，每组10～20次，对照组不进行吞咽训练，对两组患者均进行术后1年定期随访并记录患者进食情况。结果：治疗组术后发生吻合口狭窄比例（13.8%）较对照组（28.8%）低，两组比较差异有统计学意义（P0.05）；并且治疗组发生中重度狭窄的概率（45.5%）较对照组（69.6%）低，差异有统计学意义（P0.05）。结论：吞咽训练既能有效预防食管癌术后发生吻合口良性狭窄，又能降低术后吻合口出现中重狭窄的概率，并且该方法安全、有效、操作简单、经济。 　　【关键词】 吞咽训练； 食道； 吻合口狭窄 　　中图分类号 R571 文献标识码 B 文章编号 1674-6805（2014）20-0144-02 　　The Efficacy of Deglutition Rehabilitation Training in Prevention of Esophagus Anastomotic Stenosis/SHEN Yu-wei，HONG Run-sheng，WANG Ji-zhou，et al.//Chinese and Foreign Medical Research，2014，12（20）：144-145 　　【Abstract】 Objective： To explore the preventive effect of patients with anastomotic stenosis after deglutition rehabilitation training.Method： One hundred and sixty patients were randomized into the treatment group and the control group， 80 cases in each group. In treatment group， deglutition rehabilitation training was given after soft diet，twice daily，10 to 20 trials in each session， and the control group just follow-up. Two groups were followed up for one year and recorded the eating condition.Result： In treatment group， the rate of esophagus anastomotic stenosis （13.8%） was lower than that in control group （28.8%）， and the difference between the two groups were statistically significant（P0.05）. The rate in degree Ⅱ and Ⅲ stenosis patients of treatment group （45.5%） was lower than that in control group （69.6%），and the difference between the two groups were statistically significant（P0.05）.Conclusion： Deglutition rehabilitation training can not only prevent esophagus anastomotic stenosis， but also decrease the rate in degree Ⅱ and Ⅲ stenosis patients. The combinative therapy is safe and effective. 　　【Key words】 Deglutition rehabilitation training； Esophagus； Anastomotic stenosis 　　First-author’s address： Chaozhou Hospital of Chaozhou City，Chaozhou 521011，China 　　食管癌是消化系统常见的恶性肿瘤之一，目前其治疗方式以手术治疗为主。吻合口狭窄是术后常见并发症之一，术后1.8%～40.0%的患者可发生吻合口狭窄，出现