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目的:探讨洼田饮水试验（WST）联合容积粘度吞咽测试（V-VST）对头颈部肿瘤（HNC）放疗后吞咽障碍患者摄食的护理效果。方法:将临沂市肿瘤医院放疗科2019年1月至2021年3月接收的HNC放疗后吞咽障碍患者74例按随机数字表法分为对照组与研究组，每组37例；对照组患者中男17例，女20例，年龄（51.60±10.19）岁；研究组患者中男19例，女18例，年龄（50.90±10.42）岁。对照组患者经WST证实为吞咽障碍后，开展经验性的饮食指导或鼻胃管留置；研究组经WST证实为吞咽障碍后，采用V-VST确定最佳摄食稠度与一口量大小，若经V-VST评估后仍旧不宜经口摄食，则行鼻胃管营养支持。两组患者干预期间均行吞咽障碍治疗。对比两组患者干预前与干预10 d后的WST分级及吞咽功能变化，并比较干预期间的鼻胃管留置率与吸入性肺炎发生率。计数资料采用n χn 2检验，等级资料采用Mann-Whitney U检验。n 结果:研究组干预后的吞咽障碍分级（Ⅰ级13例、Ⅱ级15例、Ⅲ级5例、Ⅳ级4例、Ⅴ级0例）低于对照组（Ⅰ级7例、Ⅱ级12例、Ⅲ级9例、Ⅳ级7例、Ⅴ级2例），差异有统计学意义（n Z=2.258，n P=0.024）；研究组干预后吞咽功能总优良率高于对照组［75.68%（28/37）比51.35%（19/37）］，差异有统计学意义（n χ2=4.723，n P=0.030）；研究组的吸入性肺炎发生率低于对照组［10.81%（4/37）比29.73%（11/37）］，差异有统计学意义（n χ2=4.097，n P=0.043）。n 结论:WST联合V-VST可为HNC放疗后吞咽障碍患者制定摄食计划，以促进其吞咽功能改善，并降低吸入性肺炎发生率。“,”Objective:To explore the nursing efficacy of water swallowing test (WST) combined with volume viscosity swallowing test (V-VST) on food intake of patients with dysphagia after radiotherapy for head and neck cancer (HNC).Methods:A total of 74 patients with dysphagia after HNC radiotherapy in the Department of Radiotherapy of Linyi Cancer Hospital from January 2019 to March 2021 were divided into a control group and a study group by the random number table method, with 37 cases in each group. There were 17 males and 20 females in the control group, with an age of (51.60±10.19) years old; there were 19 males and 18 females in the study group, with an age of (50.90±10.42) years old. After confirmed to be dysphagia by WST, the patients in the control group were given empirical dietary guidance or nasogastric tube indwelling; the patients in the study group were determined for the optimum feeding consistency and mouthful size by the V-VST, and the nasogastric tube nutritional support was performed if it wasn\'t suitable for oral intake after V-VST evaluation. Both groups were treated for dysphagia during the intervention period. The WST classification and changes in swallowing function of the two groups before the intervention and 10 days after the intervention were compared. The rate of indwelling nasogastric tube and the incidence of aspiration pneumonia during the intervention period were compared. n χn 2 test was used for the count data and Mann-Whitney U test was used for the ranked data.n Results:After the intervention, there were 13 cases of grade Ⅰ dysphagia, 15 cases of grade Ⅱ dysphagia, 5 cases of grade Ⅲ dysphagia, 4 cases of grade Ⅳ dysphagia, and 0 case of grade Ⅴ dysphagia in the study group, which were lower than those in the control group (7 cases of grade Ⅰ dysphagia, 12 cases of grade Ⅱ dysphagia, 9 cases of grade Ⅲ dysphagia, 7 cases of grade Ⅳ dysphagia, and 2 cases of grade Ⅴ dysphagia), with a statistically significant difference (n Z=2.258, n P=0.024). The excellent and good rate of swallowing function in the study group was higher than that in the control group [75.68% (28/37) vs. 51.35% (19/37)], with a statistically significant difference (n χ2=4.723, n P=0.030). The incidence of aspiration pneumonia in the study group was lower than that in the control group [10.81% (4/37) vs. 29.73% (11/37)], with a statistically significant difference (n χ2=4.097, n P=0.043).n Conclusion:The combination of WST and V-VST can formulate a feeding plan for patients with dysphagia after radiotherapy for HNC, improve their swallowing function, and reduce the incidence of aspiration pneumonia.