嵌入式运动想象疗法运用于脑卒中后吞咽障碍患者的疗效观察  

Observation on the therapeutic effect of embedded motor imaging therapy on patients with dysphagia after stroke

作　　者：罗晓春 胡建利[2] 孙凯丽 徐激[1] 连雪茜 叶赛萍 王美华[1] LUO Xiaochun;HU Jianli;SUN Kaili;XU Ji;LIAN Xueqian;YE Saiping;WANG Meihua(Department of Neurology,the Affiliated Hospital of Medical School of Ningbo University,Ningbo315400,China;Department of Nursing,the Affiliated Hospital of Medical School of Ningbo University,Ningbo315400,China)

机构地区：[1]宁波大学医学院附属医院神经内科,浙江宁波315400 [2]宁波大学医学院附属医院护理部,浙江宁波315400

出　　处：《中国现代医生》2020年第7期87-90,共4页China Modern Doctor

基　　金：宁波市科技计划项目(2015C50007);宁波大学校级科研项目(XYY16053)。

摘　　要：目的观察脑卒中后吞咽障碍患者实施嵌入式运动想象疗法联合吞咽治疗仪及吞咽康复训练的临床疗效。方法选择2017年1月~2018年6月住院脑卒中后吞咽障碍患者60例,分为观察组和对照组,每组30例。观察组在吞咽康复训练、吞咽治疗仪的基础上实施嵌入式运动想象疗法;对照组仅进行吞咽康复训练和吞咽治疗仪,以21 d为一个疗程,两组患者分别于入院时和治疗21 d进行吞咽功能及营养状况评价并统计疗效。结果治疗后两组在吞咽障碍程度分级和洼田饮水试验评分均较治疗前明显好转,且观察组与对照组相比改善更明显,两组比较,差异有统计学意义(P<0.05),治疗后两组在MNA营养评分较治疗前明显提高,观察组患者营养评分显著高于对照组,差异有统计学意义(P<0.01)。结论相比于基础护理,嵌入式运动想象疗法联合吞咽治疗仪及吞咽康复训练对脑卒中后吞咽障碍患者吞咽功能的改善起到了积极的作用,且营养评分也得到了大幅度提高,疗效显著,简便易行。Objective To observe the clinical efficacy of embedded motor imaging therapy combined with swallowing therapy instrument and swallowing rehabilitation training in the patients with dysphagia after stroke.Methods 60 patients with dysphagia after hospitalization due to stroke from January 2017 to June 2018 were selected.The patients were divided into observation group and control group,with 30 cases in each group.The observation group was given embedded motor imaging therapy on the basis of swallowing rehabilitation training and swallowing treatment instrument.The control group was only given swallowing rehabilitation training and swallowing treatment instrument.21 days were taken as a course of treatment.Swallowing function and nutritional status were evaluated at the time of admission and 21 days after treatment in both groups,and the therapeutic effects were statistically evaluated.Results After treatment,the grading of dysphagia degree and the score of Putian drinking water test were significantly better than those before treatment in both groups,and the improvement in the observation group was more significant than that in the control group.The difference between the two groups was statistically significant(P<0.05).After treatment,the MNA nutritional scores were significantly higher than those before treatment in both groups.The nutritional scores in the observation group were significantly higher than those in the control group,and the difference between two groups was statistically significant(P<0.01).Conclusion Compared with basic nursing,embedded motor imaging therapy combined with swallowing therapy instrument and swallowing rehabilitation training has played an active role in improving the swallowing function of patients with dysphagia after stroke.Also,the nutritional score has also been greatly improved,the therapeutic effect is remarkable,and the operation is simple and easy to carry out.

关 键 词：脑卒中 吞咽 运动想象 嵌入式 

分 类 号：R743.3[医药卫生—神经病学与精神病学]