智慧健康SmartHealthcare2022年第33期182|·健康科学·医学实践口腔鳞癌颈清术后肩功能训练的应用效果研究李晓岚遵义医科大学附属口腔医院，贵州遵义563000摘要：目的分析口腔鳞癌颈清术后肩功能训练的应用效果。方法随机选取本院2018年1月-2020年8月接收的原发性口腔鳞癌患者共80例，将患者随机分为常规组和研究组，每组各40例。常规组患者术后不给予肩部训练，研究组患者在颈清术后采用肩功能康复训练。比较两组患者术前、术后3个月的术侧肩功能Constants评分。结果研究组患者术后3个月的术侧肩功能Constants总评分、肩部活动范围评分、力量评分和日常活动能力评分均比常规组的患者明显增加，差异具统计学的意义（P<0.05）。结论采用肩功能康复训练可有效地改善颈清术后原发性口腔鳞癌患者的肩功能水平，促进患者术后日常活动能力的恢复。关键词：口腔鳞癌；颈淋巴清扫术；肩功能训练；效果DOI:10.19335/j.cnki.2096-1219.2022.33.041ApplicationEffectStudyofShoulderFunctionTrainingforOralSquamousCellCarcinomaAfterNeckDissectionLIXiaolanZunyiMedicalUniversityAffiliatedStomatologicalHospital,Zunyi,Guizhou,563000ABSTRACT：ObjectiveToanalyzeapplicationeffectofshoulderfunctiontrainingafterneckdissectionfororalsquamouscellcarcinoma.MethodsThepaperchose80patientswithprimaryoralsquamouscellcarcinomainourhospitalfromJanuary2018toAugust2020,anddividedthemintoroutinegroupandstudygrouprandomly,with40casesineachgroup.Routinegroupwastreatedwithnoshouldertrainingaftersurgery,whilestudygroupwithshoulderfunctionrehabilitationtrainingafterneckdissection.Constansscoresofshoulderfunctionwerecomparedbetweentwogroupsbeforeand3monthsafteroperation.ResultsTotalConstantsscores,shoulderrangeofmotionscores,strengthscoresanddailyactivityabilityscoresofpatientsinstudygroupweresignificantlyhigherthanroutinegroup3monthsaftersurgery,differencewasstatisticallysignificant,(P<0.05).ConclusionShoulderfunctionrehabilitationtrainingcanimproveshoulderfunctionofpatientswithprimaryoralsquamouscellcarcinomaafterneckdissectioneffectively,andpromoterecoveryoftheirdailyactivities.KEYWORDS：Oralsquamouscellcarcinoma;Neckdissection;Shoulderfunctiontraining;Effect0引言鳞状细胞...
