Effects of multidisciplinary intervention on swallowing function,hyolaryngeal complex movement in patients with Parkinson's disease dysphagia
Objective To investigate the effects of multidisciplinary intervention on swallowing function and hyolaryngeal complex movement in patients with Parkinson's disease dysphagia(PD-D).Methods One hundred and six PD-D patients treated in Nanjing Medical University Affiliated Brain Hospital from Jan 2023 to Dec 2023 were selected and divided into an experimental group(n=53)and a control group(n=53)according to the random number table method.The control group received routine intervention,and the experimental group underwent multidisciplinary cooperative intervention based on routine intervention.The clinical effects of the two groups were observed.Choking,aspiration,aspiration pneumonia,and other PD-D complications were recorded.The nutritional status indexes of hemoglobin(Hb),serum total protein(TP),and serum albumin(ALB),and the movement of the hyoid bone and thyroid cartilage and other parameters of the hyolaryngeal complex before and after intervention were observed.Results The total effective rate of the experimental group was higher than that of the control group(χ2=5.621,P<0.05).After intervention,the levels of Hb,TP,and ALB in the experimental group were higher than those in the control group(t=5.384,7.133,5.321,P<0.05).After the intervention,the amplitude of thyroid cartilage upward movement,thyroid cartilage forward movement,hyoid forward movement,and hyoid upward movement in the experimental group were greater than those in the control group(t=19.211,31.69,29.173,17.977,P<0.05).The incidence of PD-D complications in the experimental group was lower than that in the control group(χ2=7.035,P<0.05).Conclusion Multidisciplinary intervention can enhance the swallowing function and improve the nutritional level of PD-D patients,improve the hyolaryngeal complex mobility,and reduce the complications of PD-D.
万方数据
维普
