三步吞咽康复法联合喉周按摩对甲状腺癌术后患者的干预效果

Objective To explore the nursing effect of three-step swallowing rehabilitation method combined with perilaryngeal massage in patients with dysphagia after thyroid cancer surgery. Methods A total of 170 papillary thyroid carcinoma(PTC) patients with postoperative dysphagia admitted to the General Hospital of Eastern Theater Command from March 2024 to March 2025 were selected and randomly divided into swallowing rehabilitation group and combined group, with 85 cases in each group. The swallowing function, nursing effect, thyroid function, quality of life and satisfaction were compared between the two groups. Results At 8 weeks after operation, compared with the swallowing rehabilitation group, the Dietary Assessment Tool(EAT-10) score was lower and the Gugging Swallowing Assessment Scale(GUSS) score was higher in the combined group(P<0.05). The nursing effect of the combined group was higher than that of the swallowing rehabilitation group(P<0.05). Eight weeks after surgery, the levels of thyroglobulin(Tg), thyroid stimulating hormone(TSH) and thyroglobulin antibody(TgAb) in the combined group were lower than those in the swallowing rehabilitation group(P<0.05). At 8 weeks after operation, the scores of Quality of Life Instrument for Head and Neck Cancer(QLICP-HN) and satisfaction in the two combination groups were higher than those in the swallowing rehabilitation group(P<0.05). Conclusion The combined application of perilaryngeal massage can improve the nursing effect of three-step swallowing rehabilitation method, effectively improve swallowing function, promote the recovery of thyroid function, and improve the quality of life and satisfaction of patients with dysphagia after thyroid cancer surgery.