CAJ | 학술논문

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(P<0.05)；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(P<0.05)。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。
목적：관찰탄인훈련예방식관암술후식관문합구협착적료효。방법：대160례식관암술후환자안조수궤수자표법분위치료조급대조조，매조80례。치료조환자진식연식후개시진행탄인훈련，매천훈련2조탄인활동，매조10~20차，대조조불진행탄인훈련，대량조환자균진행술후1년정기수방병기록환자진식정황。결과：치료조술후발생문합구협착비례(13.8%)교대조조(28.8%)저，량조비교차이유통계학의의(P<0.05)；병차치료조발생중중도협착적개솔(45.5%)교대조조(69.6%)저，차이유통계학의의(P<0.05)。결론：탄인훈련기능유효예방식관암술후발생문합구량성협착，우능강저술후문합구출현중중협착적개솔，병차해방법안전、유효、조작간단、경제。
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(P<0.05). The rate in degreeⅡandⅢstenosis 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(P<0.05).Conclusion:Deglutition rehabilitation training can not only prevent esophagus anastomotic stenosis,but also decrease the rate in degreeⅡandⅢstenosis patients. The combinative therapy is safe and effective.