Application of swallowing rehabilitation training combined with breathing training in severe stroke patients with dysphagia
Objective To observe the preventive effect of swallowing rehabilitation training combined with breathing training on patients with severe stroke dysphagia and its effect on patients'swallowing function,surface electromyography and nutritional status.Methods A total of 134 patients with severe stroke dysphagia who were treated in the department of neurology in a tertiary Grade A hospital in Nanchang from January 2021 to January 2023 were selected as the research subjects.They were divided into a control group and an observation group according to the principle of balanced and comparable basic data between the groups,with 67 cases in each group.The control group received swallowing rehabilitation training,and the observation group received breathing training on this basis.The incidence of complications,average Functional Oral Intake Scale(FOIS)grade,average Kubota water swallowing test grade,Standardized Swallowing Assessment(SSA),clinical efficacy,surface electromyography(maximum electromyography value,average electromyography value,swallowing time),and nutritional status[Total Protein(TP),albumin(ALB),prealbumin(PA)]of the two groups were compared.Results After intervention,the average FOIS grade in the observation group was higher than that in the control group(P<0.05),the average Kubota Water Swallowing Test grade and SSA socre in the observation group were lower than those in the control group(P<0.05);after swallowing rehabilitation training combined with breathing training,the average electromyographic value and maximum electromyographic value of the observation group were higher than those of the control group,and the swallowing time was shorter than that of the control group,and the differences between the groups were statistically significant(P<0.05).After swallowing rehabilitation training combined with breathing training,the TP,ALB and PA levels of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).After swallowing rehabilitation training combined with breathing training,the incidence of complications in the observation group(5.97%)was lower than that in the control group(19.40%),and the difference between the two groups was statistically significant(P<0.05).After swallowing rehabilitation training combined with breathing training,the clinical efficacy in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Swallowing rehabilitation training combined with breathing training for patients with severe stroke and dysphagia can reduce the incidence of complications such as aspiration pneumonia,aspiration,choking,and suffocation,improve the efficacy of patients,and improve the patients'surface electromyography level and nutritional status.
Swallowing rehabilitation trainingBreathing trainingSevere strokeDysphagiaAspiration pneumoniaEfficacyNutritional status
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