首页|吞咽训练对帕金森病患者吞咽功能障碍的康复效果观察

吞咽训练对帕金森病患者吞咽功能障碍的康复效果观察

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目的 探讨吞咽康复训练联合神经肌肉低频电刺激对帕金森病患者吞咽功能障碍的康复疗效.方法 选取2022年6月~2023年8月河南省人民医院收治的86例帕金森病吞咽功能障碍患者,按照随机数字表法分为对照组、观察组.对照组采用神经肌肉低频电刺激进行康复治疗,观察组在此基础上联合吞咽康复训练.对比两组患者临床疗效、吞咽功能、吞咽时间参数、生活质量改变情况.结果 治疗后,观察组临床疗效明显比对照组高(95.35%vs 76.74%,P<0.05);观察组洼田饮水试验(KW-ST)、标准吞咽功能评估量表(SSA)、进食评估问卷调查量表-10(EAT-10)评分均明显低于对照组(P<0.05);观察组喉关闭、咽运送、吞咽反应以及口腔运送时间均明显短于对照组(P<0.05);观察组生活质量综合评定问卷-74(GQOL-74)各项评分均明显高于对照组(P<0.05).结论 帕金森病吞咽功能障碍患者采用吞咽康复训练联合神经肌肉低频电刺激,可改善其吞咽功能,康复疗效较好,值得推广.
Observation of the rehabilitation effect of swallowing training on swallowing dysfunction in patients with Parkinson's disease
Objective To investigate the rehabilitation effect of swallowing rehabilitation training combined with neuromuscular low-frequency electrical stimulation physiotherapy on swallowing dys-function in patients with Parkinson's disease.Methods Eighty-six patients with Parkinson's disease and swallowing dysfunction admitted to Henan Provincial People's Hospital from June 2022 to August 2023 were selected and randomly divided into a control group and an observation group.The control group received neuromuscular low-frequency electrical stimulation physiotherapy for rehabilitation treat-ment,while the observation group received swallowing rehabilitation training in addition to the same treatment.Clinical efficacy,swallowing function,swallowing time parameters,and changes in quality of life were compared between the two groups.Results After treatment,the clinical efficacy of the ob-servation group was significantly higher than that of the control group(95.35%vs 76.74%,P<0.05).The scores of the Water Swallow Test(KWST),Standardized Swallowing Assessment(SSA),and Eating Assessment Tool-10(EAT-10)in the observation group were significantly lower than those in the control group(P<0.05).The laryngeal closure,pharyngeal transportation,swallowing reaction,and oral transportation time in the observation group were significantly lower than those in the control group(P<0.05).The scores of the Generic Quality of Life Inventory-74(GQOL-74)in the observa-tion group were significantly higher than those in the control group(P<0.05).Conclusion Swallo-wing rehabilitation training combined with neuromuscular low-frequency electrical stimulation physio-therapy for patients with Parkinson's disease and swallowing dysfunction can improve their swallowing function and achieve better rehabilitation effects,which is worthy of promotion.

Parkinson's diseaseSwallowing dysfunctionRehabilitation training

丁雅慧、王丽、何欢、魏晓艳、冯凯伦、刘梦君、张佰景

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河南省人民医院神经内科 河南郑州 450000

帕金森病 吞咽功能障碍 康复训练

河南省医学科技攻关计划项目

LHGI20230054

2024

华北理工大学学报(医学版)
河北联合大学

华北理工大学学报(医学版)

影响因子:0.569
ISSN:2095-2694
年,卷(期):2024.26(5)