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目的 探讨张口功能锻炼对鼻咽癌患者放疗后张口困难的防治效果。方法 根据85例根治性放疗的鼻咽癌患者功能锻炼执行情况分为指导组和对照组。指导组在放疗开始后即在医护人员的指导和监督下按一定的时间和强度进行张口功能锻炼;对照组在无具体指导和监督下完成张口功能锻炼。在放疗前、放疗结束后1～19个月分别对两组患者的门齿距进行测量。结果 指导组放疗后张口缩小的程度明显低于对照组,分别为(0 .6 7±0 .6 5 )、(1.6 2±0 .79)cm(P <0 .0 1)。结论 张口功能锻炼可有效地降低鼻咽癌患者放疗后张口困难的发生率并减轻其程度。良好的指导和监督对提高功能锻炼的效果是必需的。
Objective To investigate the effect of mouth-opening exercise on the prevention and cure of nasopharyngeal carcinoma patients after radiotherapy. Methods 85 cases of radical radiotherapy nasopharyngeal carcinoma patients exercise performance is divided into guide group and control group. After the start of radiotherapy, the guidance group conducted mouth-opening functional exercise under the guidance and supervision of medical staff according to a certain time and intensity. The control group completed the mouth-opening functional exercise without specific guidance and supervision. Pre-radiotherapy, radiotherapy after the end of 1 to 19 months were measured on the two groups of patients with pitch. Results The degree of mouth opening reduction in the guide group after radiotherapy was significantly lower than that in the control group (0.67 ± 0.56, 1.6 ± 0.79) cm (P <0.01). Conclusion Open mouth functional exercise can effectively reduce the incidence of nasopharyngeal cancer patients after radiotherapy and reduce the degree of difficulty. Good guidance and supervision are necessary to improve the effectiveness of functional exercise.