食管癌术后患者吞咽功能管理的范围综述
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女,硕士,护师

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复旦大学复星护理科研基金面上项目(FNF202258)


Management of swallowing function for patients undergoing esophageal cancer surgery: a scoping review
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    目的 系统分析食管癌术后吞咽功能管理的相关研究,以识别食管癌术后吞咽功能评估及干预方法,为食管癌术后吞咽功能管理提供参考。 方法 检索Cochrane Library,PubMed,Web of Science,CINAHL Complete英文数据库及中国生物医学文献数据库、中国知网、万方数据库、维普网中的相关研究,采用范围综述方法对文献进行分析。 结果 共纳入21篇研究,食管癌术后吞咽功能评估方法主要包括视频透视吞咽造影检查、重复唾液吞咽测试、纤维内镜吞咽检查、功能性吞咽困难评分、洼田饮水试验、标准吞咽功能评定,评估时机多从术后1周开始;术后干预方法包括直接训练、间接训练、姿势调整、冷触觉刺激和穴位刺激,多从术后1周持续至出院。 结论 食管癌术后吞咽功能评估的方法有多种,临床需选择合适的吞咽功能评估工具,并针对评估结果构建科学的管理方案,同时加强康复训练,以改善患者吞咽功能及相关结局。

    Abstract:

    Objective To systematically analyze empirical research regrading postoperative management of swallowing function in esophageal cancer patients, to identify the assessment and intervention methods, and to provide reference for clinical practice. Methods A literature search was performed in electronic databases, including Cochrane Library, PubMed, Web of Science, CINAHL, CNKI, Wanfang Data, VIP and SinoMed.The included studies were summarized and analyzed following the framework of scoping review. Results A total of 21 studies met the inclusion criteria.The methods for evaluation of swallowing function after esophageal cancer surgery included videofluoroscopic techniques, repetitive saliva swallowing test, fiberoptic endoscopic evaluation of swallowing, functional dysphagia scale, Water swallow test, and standardized swallowing assessment.The assessment started 1 week after surgery.Interventions included direct training, indirect training, postural adjustment, cold stimulation, and acupoint stimulation, from postoperative week 1 to discharge. Conclusion There are various methods for swallowing function assessment after esophageal cancer surgery, and it is recommended to select suitable assessment tools, formulate management strategies based on the assessment results, and strengthen rehabilitation exercise, thus to improve patients′ swallowing function and clinical outcomes.

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刘寒雪,陈冲,张晓菊,李慧文.食管癌术后患者吞咽功能管理的范围综述[J].护理学杂志,2023,28(9):112-117

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  • 收稿日期:2022-12-17
  • 最后修改日期:2023-02-13
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  • 在线发布日期: 2023-12-29