想象训练对脑卒中神经性吞咽障碍患者近期生活质量及吞咽功能的影响  

Influence of pharyngeal treatment machine supplemented with motor imaging training on quality of life and swallowing function of stroke patients with deglutition disorder

作　　者：徐淑芬[1] 柴文娟[1] 徐勤容[1] XU Shu-fen;CHAI Wen-juan;XU Qin-rong(Department of Rehabilitation Medicine, Quzhou Peoples Hospital, Quzhou, Zhejiang 324000, China)

机构地区：[1]衢州市人民医院康复医学科,浙江衢州324000

出　　处：《中华全科医学》2019年第6期1018-1020,1028,共4页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2015KYB426)

摘　　要：目的探讨想象训练对脑卒中神经性吞咽障碍患者近期生活质量及吞咽功能的影响。方法选取2016年8月—2018年2月衢州市人民医院收治的脑卒中神经性吞咽障碍患者60例,按照随机数字表法分为试验组与对照组,每组各30例。对照组在常规康复训练基础上使用吞咽障碍治疗仪治疗,试验组在对照组基础上给予运动想象疗法干预。干预6周后比较2组患者的生活质量、吞咽功能及并发症。结果干预6周后,2组患者标准吞咽功能评定量表(standardized swallowing assessment,SSA)评分均显著低于干预前(均P<0.05),且试验组SSA评分显著低于常规组,组间比较差异有统计学意义(P<0.05);2组患者吞咽障碍特异性生活质量量表(swallowing-related quality of life,SWAL-QOL)总分以及各维度评分均显著高于干预前(均P<0.05),且试验组SWAL-QOL总分以及各维度评分均显著高于对照组,组间比较差异有统计学意义(均P<0.05);干预期间,2组患者并发症发生率比较差异无统计学意义(P>0.05)。结论吞咽治疗仪结合运动想象训练可有效改善卒中神经性吞咽障碍患者的吞咽功能,提高生活质量,且未增加并发症的发生,值得临床重视。Objective To investigate the influence of pharyngeal treatment machine supplemented with motor imaging training on quality of life and swallowing function of stroke patients with deglutition disorder.Methods Sixty cases of stroke patients with deglutition disorder from August 2016 to February 2018 in our hospital were selected. According to the random number table method, all the patients were divided into the experiment group and the control group, 30 cases in each group. The control group was treated with dysphagia therapy on the basis of routine rehabilitation training;the experiment group was given motor imagery therapy on the basis of the control group. After 6 weeks of intervention, the quality of life, swallowing function and complications were compared between the two groups. Results After 6 weeks of intervention, the SSA scores of the two groups were significantly lower than those before intervention(P<0.05), the SSA score of the experiment group was significantly lower than that of the conventional group, the difference were statistically significant(all P<0.05). The SWAL-QOL scores of the two groups were significantly higher than those before intervention(P<0.05), the total score of SWAL-QOL and the scores of all dimensions in the experimental group were significantly higher than those in the control group, the difference were statistically significant(all P<0.05). There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Pharyngeal treatment machine supplemented with motor imaging training can effectively improve the swallowing function of patients with dysphagia neurogenic dysphagia, improve the quality of life, and do not increase the incidence of complications, it is worthy of clinical attention.

关 键 词：运动想象训练 吞咽障碍 脑卒中 生活质量 吞咽功能 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]