中国康复理论与实践2026，Vol.32Issue(4)：445-452,8.DOI:10.3969/j.issn.1006-9771.2026.04.008
虚拟现实生物反馈训练联合口腔定位疗法对口腔癌术后吞咽障碍的效果
Effect of virtual reality biofeedback training combined with oral positioning therapy on dysphagia after oral can-cer surgery
摘要
Abstract
Objective To explore the application of virtual reality biofeedback training combined with oral localization therapy in dysphagia after oral cancer surgery. Methods From May,2023 to July,2024,86 patients with dysphagia after oral cancer surgery in Zhejiang Provincial Peo-ple's Hospital were randomly divided into control group(n=43)and experimental group(n=43).The control group received conventional swallowing function training,while the experimental group added virtual reality bio-feedback training combined with oral positioning therapy,for four weeks.The Standardized Swallowing Func-tion Assessment Scale(SSA),Functional Oral Intake Scale(FOIS)and M.D.Anderson Dysphagia Inventory(MDADI)were used for evaluation before intervention,and two weeks,four weeks and eight weeks after inter-vention. Results For scores of SSA,the main effects of group(F=150.190,P<0.001,η2p=0.641)and time(F=230.870,P<0.001,η2p=0.733),as well as the interaction effect(F=16.910,P<0.001,η2p=0.168)were all significant.For scores of FOIS,the main effects of group(F=59.601,P<0.001,η2p=0.415)and time(F=89.464,P<0.001,η2p=0.516),as well as the interaction effect(F=7.990,P<0.001,η2p=0.087)were all significant.For scores of MDADI,the main effects of group(F=33.133,P<0.001,η2p=0.283)and time(F=49.650,P<0.001,η2p=0.371),as well as the interaction effect(F=3.224,P=0.023,η2p=0.037)were all significant. Conclusion Virtual reality biofeedback training combined with oral localization therapy could improve the swallowing function,oral feeding ability and overall quality of life of patients with dysphagia after oral cancer surgery.关键词
口腔癌/吞咽障碍/虚拟现实/生物反馈/口腔定位疗法Key words
oral cancer/dysphagia/virtual reality/biofeedback/oral positioning therapy分类
医药卫生引用本文复制引用
许明霞,朱慧,陈飘飘,孟可馨,陈杰,陈静,孙惠芳,孙艳艳..虚拟现实生物反馈训练联合口腔定位疗法对口腔癌术后吞咽障碍的效果[J].中国康复理论与实践,2026,32(4):445-452,8.基金项目
1.浙江省医药卫生科技计划项目(No.2025KY627 （）
No.2023KY024) （）
2.浙江省中医药科技计划项目(No.2024ZL245) Supported by Zhejiang Provincial Medical and Health Science and Technology Plan Project(No.2025KY627 （No.2024ZL245）
No.2023KY024)and Zhejiang Provincial Traditional Chinese Medicine Science and Technology Plan Project(No.2024ZL245) （No.2024ZL245）
