口腔锻炼联合雪克运动在脑出血后吞咽障碍患者中的应用效果分析  

Therapeutic effect of oral exercise method combined with shaker exercise on dysphagia in patients with cerebral hemorrhage

作　　者：吴春芳[1] 陈勇[1] 张起顺[1] 赵俊[1] 耿丽娇 

机构地区：[1]河南大学淮河医院康复医学科,河南省开封475000

出　　处：《中国基层医药》2015年第13期1998-2001,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨口腔锻炼联合雪克运动在脑出血后出现吞咽障碍患者中的应用效果。方法将112例脑出血后吞咽障碍患者按照随机数字表法分为对照组（28例，给予常规治疗与护理）、口腔锻炼组（28例，常规治疗与护理结合吞咽功能障碍口腔锻炼法）、雪克运动组（28例，常规治疗与护理结合雪克运动）、联合组（28例，常规治疗与护理结合吞咽功能障碍口腔锻炼法与联合雪克运动）。患者均行放射线透视吞咽功能检查（VFSS），对其吞咽障碍进行分级，分析治疗前后四组吞咽障碍程度。结果（1）治疗前四组VFSS 得分差异无统计学意义（P ＞0．05）。治疗后，四组 VFSS 得分差异有统计学意义（F ＝9.40，P ＜0．05）， VFSS 得分由高到低依次是联合组（8．68±4．74）分、雪克运动组（6．52±3．12）分、口腔锻炼组（6．43±2．84）分、对照组（3．96±2．02）分。除了对照组治疗前后 VFSS 得分差异无统计学意义（F ＝0．945，P ＞0.05）外，其余三组治疗后 VFSS 得分均显著高于治疗前（均 P ＜0．05）。（2）联合组总有效率显著高于其余三组（χ2＝37．76，P ＜0．01）。联合组总有效率最高（96．43％），其次是雪克运动组（75．00％）和口腔锻炼组（71.43％），最低的是对照组（21．42％）。结论由脑出血引发的吞咽功能障碍患者接受常规治疗与口腔锻炼联合雪克运动治疗，能够明显改善其吞咽功能。Objective To investigate the effect of oral exercise method combined with shaker exercise on dysphagia in patients with cerebral hemorrhage.Methods 112 patients with dysphagia caused by cerebral hemor-rhage were randomly divided into control group （28 cases,conventional treatment）,oral exercise method group （28 cases,conventional treatment combined with oral exercise method）,shaker exercise group （28 cases,conventional treatment combined with shaker exercise）and combination group （28 cases,conventional treatment combined with oral exercise method and shaker exercise）.Four groups were assessed with video fluoroscopic swallowing study （VF-SS）before treatment and after treatment.Results （1）There were no differences on VFSS among four groups before treatment （P 〉0.05）.After treatment,there were significant differences on VFSS among four groups（F =9.40,P 〈0.05）.Combination group[（8.68 ±4.74）points]with the highest score,followed by shaker exercise group[（6.52 ± 3.12）points]and oral exercise method group[（6.43 ±2.84）points],control group[（3.96 ±2.02）points]with the lowest score.There were no differences on VFSS between before treatment and after treatment in control groups （F =0.945,P 〉0.05）.In the remaining groups,the scores of VFSS after treatment were significant higher than that of before treatment （P 〈0.05）.（2）The total effective rate in combination group was higher than that of the remaining groups（χ2 =37.76,P 〈0.01）.Combination group （96.43%）combined with the highest total effective rate,followed by shaker exercise group （75.00%）and oral exercise method group （71.43%）,control group （21.42%）combined with the lowest total effective rate.Conclusion The application of oral exercise method combined with shaker exercise on patients with dysphagia caused by cerebral hemorrhage could improve the swallowing function.

关 键 词：脑出血 吞咽障碍 口腔锻炼法 雪克运动 

分 类 号：R473.74[医药卫生—护理学]