Effect of Dai's Gavage Combined with Swallowing Function Training on Recovery of Patients with Oral Cancer after Skin Flap Transplantation

DI Lu; KANG Pei; YU Xiaoyu; ZHAO Qianqian; LIU Xiaolin; ZHANG Xiaoyan; FENG Xiaowei

PDF(1792 KB)

Journal of Hunan Normal University(Medical Science) ›› 2024, Vol. 21 ›› Issue (6) : 65-68.

Effect of Dai's Gavage Combined with Swallowing Function Training on Recovery of Patients with Oral Cancer after Skin Flap Transplantation

DI Lu, KANG Pei, YU Xiaoyu, ZHAO Qianqian, LIU Xiaolin, ZHANG Xiaoyan, FENG Xiaowei

Author information +

History +

Abstract

Objective To analyze the effect of Dai's gavage combined with swallowing function training on recovery of patients with oral cancer (OC) after skin flap transplantation. Methods A total of 60 patients with OC who underwent skin flap transplantation in the hospital from January 2019 to October 2023 were selected as the study subjects. Among them, 30 patients admitted from January 2019 to May 2021 were included in the control group and given routine nursing intervention. The other 30 patients admitted from June 2021 to October 2023 were included in the observation group and given Dai's gavage combined with swallowing function training. The two groups were compared in terms of swallowing function, nutritional status, postoperative complications, and nursing satisfaction. Results After intervention, swallowing dysfunction in the observation group was significantly milder than that in the control group. After intervention, the Standardized Swallowing Assessment (SSA) score of observation group (25.26±4.21) was significantly lower than that of the control group (30.17±5.04). After intervention, the levels of albumin (ALB), hemoglobin (Hb) and total protein (TP) in observation group [(40.38±3.24) g/L, (138.72±15.17) g/L and (64.08±10.07) g/L] were higher than those in the control group [(37.31±2.88) g/L, (125.44±12.29) g/L and (58.19±9.74) g/L]. The incidence of postoperative complications was significantly lower in the observation group than in the control group. Patients in the observation group were more satisfied with nursing than the control group. Conclusion Dai's gavage combined with swallowing function training can significantly improve swallowing function and nutritional status in patients with OC undergoing skin flap transplantation while reducing postoperative complications and increasing satisfaction.

Key words

oral cancer / skin flap transplantation / Dai's gavage / swallowing function training / swallowing function / nutritional status / postoperative complication

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

DI Lu, KANG Pei, YU Xiaoyu, ZHAO Qianqian, LIU Xiaolin, ZHANG Xiaoyan, FENG Xiaowei. Effect of Dai's Gavage Combined with Swallowing Function Training on Recovery of Patients with Oral Cancer after Skin Flap Transplantation[J]. Journal of Hunan Normal University(Medical Science). 2024, 21(6): 65-68

References

[1] 林慧平, 徐婷, 林军. 人工智能在口腔癌和口腔潜在恶性疾病诊断中的研究进展[J]. 国际口腔医学杂志, 2023, 50(2): 138-145.
[2] 夏佳琳, 侯黎莉, 李丽, 等. 口腔癌病人术后吞咽障碍评估及康复证据总结[J]. 护理研究, 2022, 36(6): 959-965.
[3] 许佳琪, 张静, 朱永康, 等. 口腔癌术后患者吞咽障碍管理的证据总结[J]. 中国护理管理, 2023, 23(12): 1854-1859.
[4] 潘维花, 胡薇薇, 宋裕如. 纤维鼻咽喉镜吞咽功能检查对脑卒中吞咽障碍患者摄食训练的指导价值[J]. 中国内镜杂志, 2023, 29(2): 41-48.
[5] WU C, ZHU X, ZHOU X, et al.Intermittent tube feeding for stroke patients with dysphagia: a meta-analysis and systematic review[J]. Ann Palliat Med, 2021, 10(7): 7406-7415.
[6] 贾宝林, 吴晓娟, 杨森. 以颈横动脉为蒂的两种皮瓣在老年口腔癌术后缺损修复中应用的对比研究[J]. 现代肿瘤医学, 2023, 31(12): 2234-2238.
[7] 赵康如, 柳雪, 范兆鹏, 等. 针灸联合门德尔松手法对中风后吞咽困难患者吞咽功能的影响[J]. 陕西中医, 2022, 43(7): 958-962.
[8] 王俊辉, 唐丽娟, 董文健, 等. 超低频重复经颅磁刺激疗法对急性脑梗死吞咽障碍病人NIHSS评分、ADL评分、NSE水平、洼田饮水试验的影响研究[J]. 生命科学仪器, 2022, 20(z1): 68.
[9] 马月利, 张黎明, 祝勤雅, 等. 标准吞咽功能评定量表应用于高龄患者吞咽功能评估的信效度研究[J]. 护理学报, 2012, 19(5): 65-67.
[10] 刁兆香, 谢莉, 叶明芳, 等. 揿针埋针技术对泌尿外科腹腔镜术后病人康复的影响[J]. 护理研究, 2023, 37(2): 337-339.
[11] 王太萍, 石兴莲, 李喆臻, 等. 口腔癌患者心理因素及干预现状分析[J]. 国际口腔医学杂志, 2023, 50(2): 203-209.
[12] 李蕾, 喻磊, 乔才真. 阶梯式吞咽障碍食品方案在口腔癌根治术后早期吞咽中的应用价值[J]. 国际护理学杂志, 2023, 42(3): 485-488.
[13] 姜吉文, 马燕, 吴颖, 等. 间歇性经口至食管管饲胃肠营养结合预判性护理在脑卒中吞咽障碍患者中的应用[J]. 齐鲁护理杂志, 2020, 26(24): 126-128.
[14] 赵幸娜, 王留根, 曾西. 间歇性经口至食管管饲法对皮罗综合征患儿吞咽功能的影响[J]. 中华物理医学与康复杂志, 2021, 43(3): 246-248.
[15] MALHOTRA U, HASDAY M, ROMANOS GE, et al.Assessment of routine diet (garlic consumption) as a pre- and postoperative protocol in oral and maxillofacial surgical interventions: An evidence-based literature review[J]. Nutr Health, 2020, 26(2): 135-139.
[16] 刘彩云, 王晓晶, 闫丽, 等. 护士主导的吞咽训练对拔管后吞咽障碍患者的影响[J]. 护理学杂志, 2023, 38(2): 12-15.
[17] IRGEBAY Z, BEIRIGER JC, BEIRIGER JW, et al.Review of Diet Protocols Following Orthognathic Surgery and Analysis of Postoperative Weight Loss[J]. Cleft Palate Craniofac J, 2023, 60(11): 1411-1418.
[18] 卫琦琼, 于雪杰, 刘连, 等. 改良阶段式吞咽训练在喉切除术后患者的应用[J]. 军事护理, 2023, 40(11): 66-69.
[19] 黄倩玲, 冯云, 陈锦玲, 等. 经口间歇性管饲法配合吞咽功能训练在中重度吞咽障碍患者中的应用[J]. 齐鲁护理杂志, 2020, 26(1): 100-103.