頭頸癌患者之呼吸-吞嚥訓練：對吞嚥安全性與效率的影響

// Respiratory-Swallow Training in Head and Neck Cancer: Impact on Swallowing Safety and Efficiency

多年研究顯示，呼吸‑吞嚥訓練（RST）能將吞嚥移入呼氣相（中低潮氣量）｜此改變使生理損傷、穿透與誤吸風險大幅下降，並改善氣道保護、食物清除、攝食量與病人自報結果｜結果支持呼吸‑吞嚥協調為可調整目標，RST為機制驅動且可擴展的吞嚥復健方案。

// This review synthesizes decades of translational research testing respiratory-swallow training (RST) as a mechanism-based intervention to improve swallowing safety and physiology in people treated for head and neck cancer. It integrates experimental, observational, and interventional studies using synchronized videofluoroscopy with respiratory measurement, Phase I/II clinical trials and ongoing randomized trials, and work on wearable sensors and telehealth for home training. Findings show safe swallowing is linked to expiratory-phase (mid–low tidal volume) swallow initiation, RST reliably shifts swallows into that phase and yields significant reductions in physiologic impairment and penetration-aspiration with better airway protection, bolus clearance, intake, and patient-reported outcomes. These results support respiratory-swallow coordination as a modifiable target and RST as a mechanism-driven, scalable approach for dysphagia rehabilitation.

Published 2026年8月31日