摘要
目的研究吞咽神经肌肉电刺激联合舌压抗阻反馈训练对脑卒中后吞咽障碍患者误吸情况的预防效果.方法将该院2018年3月—2020年10月收治的83例脑卒中后吞咽障碍患者纳入研究,以电脑随机数字表法分为干预组41例和对照组42例.对照组采用吞咽神经肌肉电刺激治疗,干预组则采用吞咽神经肌肉电刺激以及舌压抗阻反馈训练.分析并对比两组误吸发生情况、口腔期及咽期吞咽功能评分、舌压变化情况、心理状态.结果干预组误吸发生率低于对照组,差异有统计学意义(P<0.05).干预组干预后口腔期及咽期吞咽功能评分均低于对照组,组间差异有统计学意义(P<0.05).干预组干预后舌压峰值、舌压平均值均高于对照组,舌压持续时长长于对照组,组间差异有统计学意义(P<0.05).干预组干预后正性情绪评分高于常规组,负性情绪评分低于对照组,组间差异有统计学意义(P<0.05).结论舌压抗阻反馈训练应用于脑卒中后吞咽障碍患者中的临床价值较高,可有效预防误吸,提升患者的舌肌力量以及吞咽功能,改善其不良心理状态.
Objective To study the preventive effect of swallowing neuromuscular electrical stimulation combined with tongue pressure resistance feedback training on aspiration in patients with dysphagia after stroke.Methods A total of 83 patients with post-stroke swallowing dysfunction admitted to the hospital from March 2018 to October 2020 were included in the study.They were divided into an intervention group of 41 cases and a control group of 42 cases by a computerized random number table.The control group used swallowing neuromuscular electrical stimulation and blank exercise training,and the intervention group used swallowing neuromuscular electrical stimulation and tongue pressure resistance feedback training.Analyze and compare the occurrence of aspiration,oral and pharyngeal swallowing function scores,changes in tongue pressure,and psychological status between the two groups.Results The incidence of aspiration in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the oral and pharyngeal swallowing function scores of the intervention group were lower than those of the control group,and the difference between the groups was statistically significant(P<0.05).After the intervention,the peak tongue pressure and the average tongue pressure of the intervention group were higher than those of the control group,and the duration of tongue pressure was longer than that of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the positive affect score of the intervention group was higher than that of the conventional group,and the negative affect score was lower than that of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion Tongue pressure resistance feedback training is of high clinical value when applied to patients with dysphagia after stroke.It can effectively prevent aspiration,enhance the strength of the tongue muscles and swallowing function of patients,and improve their unhealthy mental state.
作者
李晓雯
赵勇勇
倪维新
LI Xiaowen;ZHAO Yongyong;NI Weixin(Department of Rehabilitation Medicine,Central Hospital of Longhua District,Shenzhen,Shenzhen Guangdong,518000,China)
出处
《反射疗法与康复医学》
2021年第11期164-167,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
吞咽障碍
舌压抗阻反馈训练
误吸
舌压
Stroke
Dysphagia
Tongue pressure resistance feedback training
Aspiration
Tongue pressure
作者简介
李晓雯(1992-),女,辽宁丹东人,本科,初级康复治疗师,研究方向:言语康复。
