首页|辣椒素刺激联合主动咳嗽训练对吞咽障碍患者吞咽功能及咳嗽峰值流量的影响

辣椒素刺激联合主动咳嗽训练对吞咽障碍患者吞咽功能及咳嗽峰值流量的影响

扫码查看
目的 探讨辣椒素刺激联合主动咳嗽训练对吞咽障碍患者的影响.方法 选取 2022年 1 月—2024 年 3 月昆山市康复医院收治的 76 例吞咽障碍患者为研究对象,按随机数字表法将其分为对照组和观察组,各 38 例.对照组采用常规康复训练,观察组在对照组基础上采用辣椒素刺激联合主动咳嗽训练,两组均持续训练 4 周.对比两组的吞咽功能、咳嗽峰值流量、摄食能力及并发症发生情况.结果 干预后,观察组洼田氏饮水试验等级优于对照组,差异有统计学意义(P﹤0.05);观察组咳嗽峰值流量、功能性经口摄食量表评分均高于对照组,组间差异有统计学意义(P﹤0.05).观察组并发症发生率为 5.26%,低于对照组的 21.05%,差异有统计学意义(P﹤0.05).结论 辣椒素刺激联合主动咳嗽训练可改善吞咽障碍患者的吞咽功能,增加咳嗽峰值流量,提高摄食能力,减少并发症的发生.
Effects of Capsaicin Stimulation Combined with Active Cough Training on Swallowing Function and Peak Cough Flow in Patients with Dysphagia
Objective To explore the effect of capsaicin stimulation combined with active cough training on patients with dysphagia.Methods A total of 76 patients with dysphagia treated in Kunshan Rehabilitation Hospital from January 2022 to March 2024 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 38 cases in each group.The control group received routine rehabilitation training,and the observation group received capsaicin stimulation combined with active cough training on the basis of the control group,both groups continued to train for 4 weeks.The swallowing function,peak cough flow,feeding capacity and occurrence of complications were compared between the two groups.Results After intervention,the drinking water test grade of the observation group was better than that of the control group,and the difference was statistically significant(P﹤0.05);peak cough flow and Functional Oral Intake Scale scores in observation group were higher than those in control group,and the differences between the groups were statistically significant(P﹤0.05).The incidence of complications in the observation group was 5.26%,which was lower than 21.05%in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Capsaicin stimulation combined with active cough training can improve the swallowing function,increase the peak cough flow,improve the feeding capacity and reduce the occurrence of complications in patients with swallowing disorders.

DysphagiaActive cough trainingCapsaicin stimulationSwallowing functionPeak cough flow

徐双景

展开 >

昆山市康复医院神经康复科,江苏昆山 215300

吞咽障碍 主动咳嗽训练 辣椒素刺激 吞咽功能 咳嗽峰值流量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(19)