改良洼田饮水试验评估流程在口腔癌术后患者吞咽功能筛查中的应用

doi:10.19438/j.cjoms.2025.01.005

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (1): 24-28.doi: 10.19438/j.cjoms.2025.01.005

改良洼田饮水试验评估流程在口腔癌术后患者吞咽功能筛查中的应用

何杏芳^*, 王帅^*, 邓益君, 林朱梅, 黄秋雨

中山大学附属口腔医院口腔颌面外科,光华口腔医学院,广东省口腔医学重点实验室,广东广州 510055

收稿日期:2024-03-19 修回日期:2024-05-24 出版日期:2025-01-20 发布日期:2025-01-23
通讯作者: 黄秋雨,E-mail：huangqiuyu0719@126.com
作者简介:何杏芳（1984-）,女,硕士,主管护师,E-mail：caddiegirl@163.com;王帅（1993-）,男,硕士,护师,E-mail：wangsh58@mail.sysu.edu.cn。^*并列第一作者
基金资助:
广东省医学科学技术研究基金项目（A2020158）; 广东省医学科学技术研究基金项目（A2024192）

Application of modified Kuwata’s drinking water swallow test in swallowing function screening for patients with oral cancer after surgery

HE Xing-fang, WANG Shuai, DENG Yi-jun, LIN Zhu-mei, HUANG Qiu-yu

Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University; Guanghua School of Stomatology, Sun Yat-sen University; Guangdong Provincial Key Laboratory of Stomatology. Guangzhou 510055, Guangdong Province, China

Received:2024-03-19 Revised:2024-05-24 Online:2025-01-20 Published:2025-01-23

摘要/Abstract

摘要： 目的：评价改良洼田饮水试验评估流程在筛查口腔癌同期行修复重建患者术后吞咽功能中的应用效果。方法：选择2020年6月—2022年6月中山大学附属口腔医院收治的口腔癌同期行修复重建的患者120例,采用随机数字表法分为对照组和试验组,每组60例。试验组以改良洼田饮水试验评估流程进行吞咽功能筛查评估,对照组以常规洼田饮水试验进行筛查。比较2组患者洼田饮水试验评估次数、胃管拔除率、胃管重置率和胃管留置时间等指标。采用SPSS 22.0软件包对数据进行统计学分析。结果：试验组患者的评估次数为（1.10±0.30）次,显著少于对照组的（1.32±0.60）次（P<0.05）。试验组胃管重置率和胃管留置时间显著低于对照组（P<0.05）,而胃管拔除率显著高于对照组（P<0.05）。结论：经过改良洼田饮水试验评估流程的口腔癌术后患者,吞咽功能筛查的安全性和有效性优于常规洼田饮水试验,值得临床推广应用。

关键词: 口腔癌, 改良洼田饮水试验, 吞咽功能, 胃管拔除

Abstract: PURPOSE: To analyze the application effect of modified Kuwata's water swallow test in the swallowing function of patients after repair and reconstruction surgery as screening for oral cancer. METHODS: A total of 120 patients with oral cancer who underwent repair and reconstruction in our hospital from June 2020 to June 2022 were selected as the research subjects, and they were divided into control group and experimental group by random number table, with 60 cases in each group. The patients in the experimental group were screened and evaluated by modified Kuwata's water swallow test, while patients in the control group were screened by Kuwata's water swallow test. The two groups were compared with the number of evaluations, the rate of gastric tube removal, the rate of gastric tube replacement, and duration of gastric tube indwelling. SPSS 22.0 software package was used for data analysis. RESULTS: The number of evaluations, the rate of gastric tube repositioning, and the duration of gastric tube indwelling in the experimental group were significantly lower than those in the control group(P<0.05), and the gastric tube removal rate in the experimental group was significantly higher than that in the control group(P<0.05). CONCLUSIONS: Modified Kuwata's water swallow test is safer and efficacy than water swallow test of swallowing function screening in postoperative patients with oral cancer, and it is worthy of clinical implementation.

Key words: Oral cancer, Kuwata's water swallow test, Swallowing function, Gastric tube extraction

中图分类号:

R739.8

何杏芳, 王帅, 邓益君, 林朱梅, 黄秋雨. 改良洼田饮水试验评估流程在口腔癌术后患者吞咽功能筛查中的应用[J]. 中国口腔颌面外科杂志, 2025, 23(1): 24-28.

HE Xing-fang, WANG Shuai, DENG Yi-jun, LIN Zhu-mei, HUANG Qiu-yu. Application of modified Kuwata’s drinking water swallow test in swallowing function screening for patients with oral cancer after surgery[J]. China J Oral Maxillofac Surg, 2025, 23(1): 24-28.

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改良洼田饮水试验评估流程在口腔癌术后患者吞咽功能筛查中的应用

Application of modified Kuwata’s drinking water swallow test in swallowing function screening for patients with oral cancer after surgery

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