励-协夫曼言语训练法在脑梗死后吞咽障碍病人中的应用价值  

Application value of Lee Silverman Voice Treatment in patients with dysphagia after cerebral infarction

作　　者：张林梅 王兆霞[1] 彭蕾[1] 陈鹏[1] ZHANG Lin-mei;WANG Zhao-xia;PENG Lei;CHEN Peng(Department of Geriatric Neurology, Jiangsu Province Hospital, Nanjing 210029, China)

机构地区：[1]江苏省人民医院老年神经科,江苏省南京市210029

出　　处：《实用老年医学》2022年第1期41-44,共4页Practical Geriatrics

基　　金：江苏省老年医学科技发展基金专项项目(JGS2019ZXYY20)。

摘　　要：目的探讨励-协夫曼言语训练法(Lee Silverman Voice Treatment,LSVT)对老年脑梗死后吞咽障碍病人嗓音质量和日常生活能力(ADL)的影响。方法选取我院2019年1月至2020年4月期间收治的124例老年脑梗死后吞咽障碍病人作为研究对象,随机分为观察组和对照组,每组62例。对照组采取常规言语干预,观察组在对照组基础上给予LSVT,持续干预12周。比较2组病人干预前后的吞咽功能、嗓音质量以及ADL评分。结果干预后2组病人吞咽功能、嗓音障碍指数量表(Voice Handicap Index,VHI)评分、主观听感知评估(GRBAS)嗓音量表评分以及Barthel指数评分均较干预前明显改善,且观察组改善程度优于对照组(P<0.05)。结论LVST可显著提高老年脑梗死后吞咽障碍病人的言语功能和嗓音质量,改善病人的吞咽功能和ADL。Objective To explore the effect of Lee Silverman Voice Treatment(LSVT)on the voice quality and ability of daily living(ADL)in the elderly patients with dysphagia after cerebral infarction.Methods A total of 124 elderly patients with dysphagia after cerebral infarction admitted in our hospital from January 2019 to April 2020 were selected as the research objects,and were randomly divided into observation group and control group,with 62 cases in each group.The control group was given regular speech intervention,and the observation group was given LSVT on the basis of the control group,and the intervention was continued for 12 weeks.The swallowing function,voice quality and ADL score of the patients in the two groups before and after intervention were compared.Results After intervention,the swallowing function,the scores of Voice Handicap Index,GRBAS voice meter and Barthel index of the two groups were significantly improved,especially in the observation group(P<0.05).Conclusions LSVT can significantly improve the speech function and voice quality of the elderly patients with dysphagia after cerebral infarction,and can improve the patients’swallowing function and ADL.

关 键 词：励-协夫曼言语训练 脑梗死 吞咽障碍 嗓音质量 日常生活能力 

分 类 号：R743[医药卫生—神经病学与精神病学]