摘要
目的:观察改良吞咽口肌训练操对慢性阻塞性肺疾病(COPD)急性加重期患者吞咽功能及生活质量的影响。方法:选取56例洼田饮水试验分级≥Ⅱ级的COPD患者,通过Excel表随机分为观察组和对照组,每组28例。研究过程中2组各剔除3例,最终纳入研究各25例。对照组给予吞咽电刺激治疗,观察组在对照组基础上给予改良吞咽口肌训练操治疗,2组均治疗10 d。比较2组治疗前后慢性阻塞性肺疾病评估测试问卷(CAT)、洼田饮水试验评分。结果:治疗后,2组咳嗽、痰量、胸闷、气促、劳动受影响、外出活动受限、睡眠、精力评分及总分均较治疗前降低(P<0.05),观察组上述CAT细则评分及总分均低于对照组(P<0.05)。治疗后,观察组洼田饮水试验评分较治疗前降低,且低于对照组(P<0.05)。对照组洼田饮水试验评分治疗前后比较,差异无统计学意义(P>0.05)。结论:改良吞咽口肌训练操可改善COPD急性加重期患者的吞咽功能,提高其生活质量。
Objective:To observe the effect of modified swallowing mouth muscle training exercises on swallowing function and quality of life in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods:A total of 56 cases of COPD patients with classification more than Grade II in water swallow test were selected and divided into the control group and the observation group according to the random number table method,with 28 cases in each group respectively.During the study,3 cases dropped off in the two groups,finally 25 cases were included in the study in each group.The control group was treated with swallowing electrical stimulation therapy,and the observation group was additionally treated with modified swallowing mouth muscle training exercises based on the treatment of the control group.Both groups were treated for 10 days.The scores of Chronic Obstructive Pulmonary Disease Assessment Test Questionnaire(CAT)and water swallow test classification were compared between the two groups.Results:After treatment,the scores of cough,sputum volume,chest discomfort,panting,labour being affected,outgoing activities limitations,sleep,vigor,and the total scores in the two groups were decreased when compared with those before treatment,and each score and total score in CAT in the observation group were lower than those in the control group,differences being significant(P<0.05).The score of water swallow test in the observation group was decreased when compared with that before treatment,and lower than that in the control group,differences being significant(P<0.05).There was no significant difference being found in the comparison of scores of water swallow test in the control group before and after treatment(P>0.05).Conclusion:Modified swallowing mouth muscle training exercises can improve swallowing function and quality of life in patients with acute exacerbation of COPD.
作者
熊淑云
何文芳
梁成成
黄俊廷
XIONG Shuyun;HE Wenfang;LIANG Chengcheng;HUANG Junting(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine(Guangdong Provincial Hospital of Chinese Medicine),Guangzhou Guangdong 510120,China)
出处
《新中医》
CAS
2023年第16期180-184,共5页
New Chinese Medicine
基金
广东省中医药局科研项目(20181136)。
关键词
慢性阻塞性肺疾病
急性加重期
改良吞咽口肌训练操
生活质量
吞咽功能
Chronic obstructive pulmonary disease
Acute exacerbation
Modified swallowing mouth muscle training exercises
Quality of life
Swallowing function
作者简介
熊淑云(1983-),女,副主任护师,E-mail:_10162644@qq.com;通信作者:黄俊廷(1992-),男,主治医师,E-mail:1729863242@qq.com。
