首页|吞咽功能训练联合冰刺激对缺血性脑卒中后吞咽障碍影响

吞咽功能训练联合冰刺激对缺血性脑卒中后吞咽障碍影响

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目的:探讨吞咽功能训练联合冰刺激干预在缺血性脑卒中后吞咽障碍(DAS)患者中的应用效果.方法:选择 150 例DAS患者,随机分为 2 组.观察组(75 例)予以吞咽功能训练联合冰刺激干预,对照组(75 例)予以吞咽功能训练,2 组均持续训练 1 个月.对比 2 组吞咽功能[标准吞咽功能评定量表(SSA)]、摄食情况[功能性经口摄食量表(FIOS)]、并发症发生情况及生活质量[吞咽障碍特异性生活质量量表(SWAL-QOL).结果:观察组训练后SSA量表评分低于对照组,FIOS量表评分高于对照组分,差异有统计学意义(P<0.05);观察组并发症发生率(4.00%)低于对照组(13.33%),差异有统计学意义(P<0.05);观察组训练后SWAL-QOL量表中食物选择、进食时间、食欲、语言交流、症状频率维度评分均高于对照组,差异有统计学意义(P<0.05).结论:吞咽功能训练联合冰刺激干预应用于DAS患者中,可促进吞咽、摄食功能恢复,还可减少并发症的发生,提升生活质量.
The Effect of Swallowing Function Training Combined with Ice Stimulation Intervention on Swallowing Disorder in Ischemic Stroke
Objective:To explore the effect of swallowing function training and ice stimulation intervention in patients with post-stroke dysphagia(DAS).Methods:150 DAS patients admitted were randomly divided into two groups using a random number table method.The observation group(75 cases)received swallowing function training combined with ice stimulation intervention,while the control group(75 cases)received swallowing function training.Both groups received continuous training for one month.Compare swallowing function,food intake,incidence of complications,and quality of life between two groups.The SSA score of the observation group after nursing was(21.60±1.48)points,lower than the control group's,the FIOS score was,higher than the control group's(P<0.05).The incidence of complications in the observation group(4.00%)was lower than that in the control group(13.33%)(P<0.05).The dimensions of food selection,eating time,appetite,language communication,and symptom fre-quency in the swallowing quality of life questionnaire(SWAL-QOL)after nursing in the observation group,respectively,which were higher than the control group(P<0.05).Conclusion:The combination of swallowing function training and ice stimulation interven-tion can promote the recovery of swallowing and feeding functions,reduce the occurrence of complications,and improve the quality of life in DAS patients.

strokeswallowing disordersswallowing function trainingice stimulation interventionswallowing functioncomplications

杨婉丽、赖桂兴

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厦门大学附属第一医院神经内科(福建 厦门 361000)

厦门大学附属第一医院胃肠肿瘤外科

脑卒中 吞咽障碍 吞咽功能训练 冰刺激干预 吞咽功能 并发症

2024

长治医学院学报
长治医学院

长治医学院学报

影响因子:0.609
ISSN:1006-0588
年,卷(期):2024.38(6)