首页|间歇鼻饲、吞咽手法训练配合神经肌肉电刺激治疗仪对脑卒中吞咽障碍患者功能恢复的影响

间歇鼻饲、吞咽手法训练配合神经肌肉电刺激治疗仪对脑卒中吞咽障碍患者功能恢复的影响

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目的 探讨间歇鼻饲、吞咽手法训练配合神经肌肉电刺激治疗仪对脑卒中吞咽障碍患者功能恢复的影响.方法 选取2022年1月至2023年1月我院收治的80例脑卒中吞咽障碍患者为研究对象,以随机数字表法将其分为对照组和观察组,各40例.对照组采取常规鼻饲和康复护理,观察组在常规护理基础上应用间歇鼻饲、吞咽手法训练配合神经肌肉电刺激.比较两组的干预效果.结果 干预后,观察组的血红蛋白(Hb)、白蛋白(ALB)、总蛋白(TP)水平高于对照组(P<0.05).干预后,观察组的舌骨上移、舌骨前移距离长于对照组(P<0.05).干预后,观察组的标准吞咽功能评定量表(SSA)评分低于对照组,吞咽相关生存质量量表(SWAL-QOL)评分高于对照组(P<0.05).干预后,观察组的神经元特异性烯醇化酶(NSE)、神经肽Y(NPY)水平低于对照组(P<0.05).结论 间歇鼻饲、吞咽手法训练配合神经肌肉电刺激治疗仪能改善脑卒中吞咽障碍患者营养状态、舌骨喉复合体动度及吞咽功能,提高生活质量,促进神经功能恢复.
Effect of intermittent nasal feeding,swallowing technique training combined with neuromuscular electrical stimulation therapy instrument on functional recovery of stroke patients with dysphagia
Objective To explore the effect of intermittent nasal feeding,swallowing technique training combined with neuromuscular electrical stimulation therapy instrument on functional recovery of stroke patients with dysphagia.Methods A total of 80 stroke with dysphagia patients admitted in our hospital from January 2022 to January 2023 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given routine nasal feeding and rehabilitation nursing,while the observation group was given intermittent nasal feeding,swallowing technique training combined with neuromuscular electrical stimulation therapy instrument on the basis of routine nursing.The intervention effects of the two groups were compared.Results After intervention,the levels of hemoglobin(Hb),albumin(ALB)and total protein(TP)in the observation group were higher than those in the control group(P<0.05).After intervention,the hyoid bone upward and hyoid bone forward distances in the observation group were longer than those in the control group(P<0.05).After intervention,the Standardized Swallowing Assessment(SSA)score of the observation group was lower than that of the control group,and the Swallowing Quality of Life Questionnaire(SWAL-QOL)score was higher than that of the control group(P<0.05).After intervention,the levels of neuron specific enolase(NSE)and neuropeptide Y(NPY)in the observation group were lower than those in the control group(P<0.05).Conclusion Intermittent nasal feeding,swallowing technique training combined with neuromuscular electrical stimulation therapy instrument can improve the nutritional status,hyoid-laryngeal complex mobility and swallowing function of stroke with dysphagia patients,elevate the quality of life,and promote the recovery of neurological function.

intermittent nasal feedingswallowing technique trainingneuromuscular electrical stimulation therapy instrumentstrokedysphagia

于文静、毛炅平

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宝鸡市中心医院康复医学科,陕西宝鸡,721008

宝鸡市中心医院神经内科,陕西宝鸡,721008

间歇鼻饲 吞咽手法训练 神经肌肉电刺激治疗仪 脑卒中 吞咽障碍

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(28)
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