Effect of oral neuromuscular training combined with intermittent θ burst stimulation on dysphagia of nasopharyngeal carcinoma patients after chemoradiotherapy
10.3969/j.issn.1009-0754.2024.10.019
- VernacularTitle:口腔神经肌肉训练联合间歇性θ短阵脉冲刺激在鼻咽癌放化疗后吞咽障碍患者中的应用
- Author:
Linyan GUO
1
;
Yan SONG
;
Xiaona YANG
;
Fengfeng SONG
Author Information
1. 710038 陕西西安,空军军医大学第二附属医院耳鼻咽喉头颈外科
- Keywords:
Nasopharyngeal carcinoma;
Chemoradiotherapy;
Dysphagia;
Oral neuromuscular training;
Intermittent theta burst stimulation
- From:
Journal of Navy Medicine
2024;45(10):1082-1085
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of oral neuromuscular training combined with intermittent theta burst stimulation(iTBS)on dysphagia of nasopharyngeal carcinoma patients after chemoradiotherapy.Methods Seventy-six nasopharyngeal carcinoma patients with dysphagia who received chemoradiotherapy in The Second Affiliated Hospital of Air Force Medical University from March 2021 to March 2022 were enrolled and divided into two groups by random number table methods.Control group received conventional swallowing training,and observation group received oral neuromuscular training combined with iTBS.The swallowing function was assessed by video fluoroscopic swallowing study(VFSS)and Rosenbek penetration aspiration scale(PAS)at the baseline and after treatment.The quality of life and treatment effect were compared between the two groups.Results After intervention,the PAS score was decreased and the Swallowing Quality-of-Life Questionnaire(SWAL-QOL)score was increased in both groups(P<0.05),with significant differences between the two groups(P<0.05).The treatment efficacy of dysphagia in the observation group was significantly higher than that in the control group(86.84%vs 44.74%,P<0.05).Conclusion Oral neuromuscular training combined with iTBS can effectively ameliorate dysphagia and improve the quality of life of patients with nasopharyngeal carcinoma after chemoradiotherapy.