首页|酸冰刺激联合呼吸-吞咽协调训练对脑卒中后吞咽障碍患者摄食能力及呛咳情况的影响

酸冰刺激联合呼吸-吞咽协调训练对脑卒中后吞咽障碍患者摄食能力及呛咳情况的影响

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目的:探讨脑卒中后吞咽障碍患者采取酸冰刺激联合呼吸-吞咽协调训练治疗的具体效果。方法:选取 2021年 8月—2024年 6月济南市第三人民医院收治的 80例脑卒中后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研究组,每组 40例。对照组采取常规吞咽障碍康复训练治疗,研究组在对照组基础上采取酸冰刺激联合呼吸-吞咽协调训练治疗。两组均连续治疗 8周。对比两组吞咽功能、摄食能力、呛咳情况、误吸风险和生活质量。结果:治疗后,研究组标准吞咽功能评定量表评分低于对照组,功能性经口摄食量表、吞咽生命质量量表评分均高于对照组,差异均有统计学意义(P<0。05)。治疗后,研究组洼田饮水试验及Rosenbek渗透/误吸量表等级分布情况均优于对照组,差异均有统计学意义(P<0。05)。结论:脑卒中后吞咽障碍患者采取酸冰刺激联合呼吸-吞咽协调训练治疗,可促进患者吞咽功能恢复,缓解呛咳情况,降低误吸风险,提升患者摄食能力和生活质量。
Effects of Acid Ice Stimulation Combined with Breathing-Swallowing Coordination Training on Feeding Capacity and Cough in Patients with Dysphagia after Stroke
Objective:To investigate the effect of acid ice stimulation combined with breathing-swallowing coordination training on patients with dysphagia after stroke.Methods:A total of 80 patients with dysphagia after stroke treated in Jinan Third People's Hospital from August 2021 to June 2024 were selected and divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group was treated with routine rehabilitation training for swallowing disorders,while the study group was treated with acid ice stimulation combined with breathing-swallowing coordination training on the basis of the control group.Both groups were treated continuously for 8 weeks.Both groups were treated continuously for 8 weeks.Swallowing function,feeding capacity,coughing situation,aspiration risk and quality of life were compared between the two groups.Results:After treatment,the scores of Standardized Swallowing Assessment was lower than that of the control group,the Functional Oral Intake Scale and Swallowing-Quality of Life Scale were higher than those of the control group,the differences were statistically significant(P<0.05).After treatment,the grade distribution of Water Swallow Test and Rosenbek Penetration/Aspiration Scale in the study group were better than those in the control group,with statistical significance(P<0.05).Conclusion:Patients with swallowing disorder after stroke were treat with acid ice stimulation combined with breathing-swallowing coordination training can promote the recovery of swallowing function,relieve coughing situation,reduce aspiration risk,and improve the feeding capacity and quality of life of patients.

StrokeSwallowing disordersAcid ice stimulationBreathing-swallowing coordination trainingFeeding capacityCoughing situation

张楠楠

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山东省济南市第三人民医院康复医学科,山东 济南 250000

脑卒中 吞咽障碍 酸冰刺激 呼吸-吞咽协调训练 摄食能力 呛咳情况

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)