首页|吞咽造影数字化分析咽腔电刺激对吞咽康复的作用

吞咽造影数字化分析咽腔电刺激对吞咽康复的作用

扫码查看
目的 探讨吞咽造影数字化分析及咽腔电刺激对于吞咽康复的有效性.方法 选取 2021 年 12 月至2022 年11 月收治的120 例脑卒中后吞咽障碍鼻饲患者作为研究对象.按照简单随机法分为2 组,对照组予以常规吞咽康复,观察组增加咽腔电刺激训练.对比2 组患者训练前后的FOIS评分,比较患者康复前后的咽腔收缩持续时间、咽腔收缩率、舌骨位移幅度、上食道括约肌最大开放幅度.结果 2 组患者治疗后FOIS评分高于治疗前(P<0.05);观察组高于对照组(P<0.05).2 组患者治疗后咽腔对稠糊状物质、浓流质、稀流质的收缩率均低于治疗前(P<0.05);观察组均低于对照组(P<0.05).2 组患者治疗后咽腔对稠糊状物质、浓流质、稀流质的收缩持续时间均高于治疗前(P<0.05);观察组均高于对照组(P<0.05).2 组患者治疗后进食稠糊状物质、浓流质、稀流质时,舌骨向上、向前位移幅度,上食道括约肌最大开放幅度均高于治疗前(P<0.05).观察组均高于对照组(P<0.05).结论 咽腔电刺激能够促进脑卒中后吞咽功能障碍患者吞咽功能恢复,吞咽造影定量评估能够精确判断吞咽功能恢复情况,为临床治疗提供客观参考依据.
Effectiveness of digital analysis of swallowing radiography and the electrical stimulation of pharyngeal cavity on swallowing rehabilitation
Objective To explore the effectiveness of digital analysis of swallowing radiography and electrical stimulation of pharyngeal cavity on swallowing rehabilitation.Methods From December 2021 to November 2022,120 post-stroke dysphagia patients with nasogastric feeding admitted to our hospital were selected as the research objects.They were randomly divided into 2 groups according to the simple random method.All patients received conventional swallowing rehabilitation training,and those in the observation group additionally received electrical stimulation training of the pharyngeal cavity.The Functional Oral Intake Scale(FOIS)scores,contraction duration and contraction rate of the pharyngeal cavity,displacement of the hyoid bone and maximum opening of the upper esophageal sphincter before and after training were compared between groups.Results The FOIS scores in the both groups were significantly higher than those before treatment(P<0.05),which,after treatment,were significantly higher in the observation group than those of the control group(P<0.05).Contraction rate of pharyngeal cavity for thick paste material,concentrated fluid and dilute fluid after treatment in the both groups was significantly lower than that before treatment(P<0.05),which,after treatment,was significantly lower in the observation group than that of the control group(P<0.05).The contraction duration of intaking the thick paste material,dense concentrated fluid,and thin dilute fluid after treatment were significantly longer in the both groups than those before treatment(P<0.05),which,after treatment,were significantly longer in the observation group than those of the control group(P<0.05).The upward and forward displacement of the hyoid bone and the maximum opening of the upper esophageal sphincter when intaking the thick paste material,dense concentrated fluid,and thin dilute fluid after treatment were significantly greater in the both groups than those before treatment(P<0.05),which,after treatment,were significantly higher in the observation group than those of the control group(P<0.05).Conclusion Electrical stimulation of the pharyngeal cavity can promote the recovery of swallowing function in post-stroke dysphagia patients with nasogastric feeding,and digital swallowing imaging can quantitatively evaluate the recovery of swallowing function and provide an objective reference for clinical treatment.

dysphagiadigital analysisswallowing examinationelectrical stimulation of pharyngeal cavity

张茜、代欣、贺媛、贾维维、王海英、梁艳、张雷

展开 >

100144 北京市,首都医科大学附属北京康复医院言语康复科

吞咽障碍 定量评估 吞咽造影检查 咽腔电刺激

首都医科大学附属北京康复医院2021~2023年科技发展专项课题

2021-021

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
  • 20