不同时间的生物反馈联合吞咽功能训练对脑卒中后吞咽障碍的疗效评价  

Efficacy evaluation of biofeedback combined with swallowing function training at different times on dysphagia after stroke

作　　者：简静雯 朱丽娟 茅新蕾 管朝红 杨晶晶 林晓燕 JIAN Jingwen;ZHU Lijuan;MAO Xinlei;GUAN Chaohong;YANG Jingjing;LIN Xiaoyan(Department of Neurology,Wenzhou Central Hospital in Zhejiang Province,Wenzhou 325000,China)

机构地区：[1]浙江省温州市中心医院神经内科,浙江温州325000

出　　处：《中国现代医生》2018年第13期78-81,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2015KYB364)

摘　　要：目的观察不同时间的生物反馈联合吞咽功能训练对脑卒中后吞咽障碍的疗效评价。方法将124例脑卒中后吞咽障碍的患者随机分为观察组和对照组。观察组采用生物反馈联合吞咽功能训练进行2周和4周的治疗,对照组采用常规的吞咽功能训练进行2周和4周的治疗。采用洼田饮水试验分别对两组患者治疗前及治疗后2周、4周进行吞咽功能评定。结果两组患者治疗前吞咽功能评分无统计学差异(P=0.401)。治疗2周后,观察组和对照组吞咽功能评定同样不存在统计学差异(P=0.138)。经过4周治疗后,观察组的吞咽功能评定明显优于对照组(P=0.003)。结论生物反馈联合吞咽功能训练优于常规的吞咽功能训练,且治疗4周后的生物反馈联合吞咽功能训练疗效优于2周后的生物反馈联合吞咽功能训练,说明治疗效果与治疗时间的长短存在相关性。Objective To evaluate the efficacy of biofeedback combined with swallowing function training at different times on post-stroke dysphagia. Methods 124 patients with post-stroke dysphagia were randomly divided into observation group and control group. The observation group was given biofeedback combined with swallowing function training for 2 weeks and 4 weeks of treatment. The control group was given routine swallowing function training for 2 weeks and4 weeks of treatment. Kubota drinking water test was used to evaluate the swallowing function before treatment, 2 weeks and 4 weeks after treatment in both groups. Results There was no statistically significant difference in the scores of swallowing function between the two groups before treatment（P=0.401）. After 2 weeks of treatment, there was also no statistically significant difference in the evaluation of swallowing function between the observation group and the control group（P=0.138）. After 4 weeks of treatment, the evaluation of swallowing function in the observation group was significantly better than that in the control group（P=0.003）. Conclusion Biofeedback combined with swallowing function training is better than the routine swallowing function training. After 4 weeks of treatment, the efficacy of biofeedback combined with swallowing function training is better than the biofeedback combined with swallowing function training after2 weeks, indicating that there is a correlation between the treatment effect and the length of treatment time.

关 键 词：脑卒中 吞咽障碍 生物反馈训练 吞咽功能训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]