基于运动想象疗法引导的康复训练措施对脑卒中后吞咽障碍患者功能恢复及生活质量的影响  

Effect of rehabilitation training measures guided by exercise imagination therapy on functional recovery and quality of life of patients with dysphagia after stroke

作　　者：徐淑芬[1] 柴文娟[1] 徐勤容[1] XU Shufen;CHAI Wenjuan;XU Qinrong(Department of Rehabilitative Medicine,Quzhou People＇s Hospital in Zhejiang Province,Quzhou 324000,China)

机构地区：[1]浙江省衢州市人民医院康复医学科,浙江衢州324000

出　　处：《中国现代医生》2018年第23期106-109,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2015KYB426)

摘　　要：目的探讨基于运动想象疗法引导的康复训练措施对脑卒中后吞咽障碍患者功能恢复及生活质量的影响效果。方法选择本院2017年3月～2018年1月本院收治的65例脑卒中吞咽障碍患者,根据随机数字法将其分为观察组(n=35)和对照组(n=30),观察组患者采用运动想象疗法引导的康复训练措施治疗,对照组采用基础吞咽功能训练治疗。比较两组患者疗效、吞咽能力、生活质量以及洼田饮水评分。结果观察组患者总有效率为91.43%,显著高于对照组总有效率70.00%,组间比较差异有统计学意义(P<0.05)。两组患者治疗前舌肌、咀嚼肌及颊肌以及咽喉肌评分比较无显著差异。治疗后观察组舌肌、咀嚼肌及颊肌以及咽喉肌评分显著低于对照组,组间差异有统计学意义(P<0.05)。观察组患者生活质量各个方面评分显著高于对照组,组间差异有统计学意义(P<0.05)。两组患者治疗前洼田饮水评分比较无显著差异(P>0.05),治疗后观察组洼田饮水评分显著低于对照组,组间比较差异有统计学意义(P<0.05)。结论脑卒中后吞咽障碍患者采用基于运动想象疗法引导的康复训练措施取得显著的治疗效果,改善患者吞咽能力,改善患者生活质量,值得推广使用。Objective To explore the effect of rehabilitation training the functional recovery and quality of life of patients with dysphagia phagia who were treated in our hospital from March 2017 to measures based on exercise imagination therapy on after stroke. Methods 65 stroke patients with dys- January 2018 were selected. According to the random number method, they were divided into observation group （n=35） and control group（n=30）. The patients in the observa- tion group were treated with rehabilitation training measures guided by exercise imagination therapy. The control group was treated with basic swallowing function training. The curative effect, swallowing ability,quality of life and sub-water drinking score were compared between the two groups. Results The total effective rate in the observation group was 91.43%, which was significantly higher than that of 70.00% in the control group. The difference between the groups was statistically significant（P〈0.05）. There was no significant difference in scores of tongue muscle, masticatory muscle, buccal muscle and throat muscle between the two groups. After treatment, the scores of tongue muscle, masticatory mus- cle, buccal muscle and throat muscle in the observation group were significantly lower than those in the control group, and the differences between groups were statistically significant（P〈0.05）. The scores of all aspects of the quality of life in the observation group were significantly higher than those in the control group, and the differences between two groups were statistically significant（P〈0.05）. There was no significant difference in the scores of sub-water drinking test between the two groups before treatment（P〉0.05）. After the treatment, the score of sub-water drinking test in the obser- vation group was significantly lower than that in the control group, and the difference between two groups was statistically significant（P〈0.05）. Conclusion Patients with dysphagia after stroke apply rehabilitation training measure

关 键 词：运动想象疗法 脑卒中 吞咽障碍 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]