脑卒中吞咽功能障碍患者使用吞咽功能治疗仪辅助治疗的效果分析  

Analysis on the improvement of dysphagia in stroke patients treated with swallowing function therapeutic instrument

作　　者：韩德胜 马玥 罗镇杰 王倩 何晓宏[2] HAN Desheng;MA Yue;LUO Zhenjie;WANG Qian;HE Xiaohong(Medical College of Qinghai University,Xining,Qinghai 810001,P.R.China;Department of Rehabilitation Medicine,Qinghai University Affiliated Hospital,Xining,Qinghai 810001,P.R.China;Department of Emergency Medicine,Qinghai University Affiliated Hospital,Xining,Qinghai 810001,P.R.China)

机构地区：[1]青海大学医学院,青海西宁810001 [2]青海大学附属医院康复医学科,青海西宁810001 [3]青海大学附属医院急救中心,青海西宁810001

出　　处：《华西医学》2022年第2期214-217,共4页West China Medical Journal

基　　金：青海大学附属医院中青年科研基金项目(ASRF-2018-YB-12)。

摘　　要：目的分析吞咽功能治疗仪在脑卒中吞咽障碍中的应用价值。方法选择2018年7月—2020年4月青海大学附属医院康复医学科收治的脑卒中吞咽障碍患者。采用随机数字表法将纳入患者分为试验组和对照组。对照组采用综合康复治疗,试验组采用综合治疗+应用吞咽功能治疗仪。观察两组患者吞咽障碍改善情况、临床指标变化。结果共纳入患者100例,每组各50例。干预前,两组患者的标准吞咽功能评估量表(Standardized Swallowing Assessment,SSA)积分、视频透视吞咽检查(video fluoroscopy swallowing study,VFSS)评分、超声运动振幅和持续时间比较,差异均无统计学意义(P>0.05)。干预4周后,两组患者的SSA积分、VFSS评分、超声运动振幅和持续时间均较干预前改善(P<0.05),且试验组优于对照组(P<0.05);两组组间吞咽障碍改善情况比较,差异有统计学意义(Z=−2.452,P=0.014);试验组吞咽障碍改善总有效率(92.00%)高于对照组(82.00%),但两组比较差异无统计学意义(χ^(2)=2.210,P=0.137)。结论将吞咽功能治疗仪应用于脑卒中吞咽功能障碍辅助治疗过程中,有助于改善患者的临床症状,能够获得较为理想的治疗效果,值得推广。Objective To analyze the application value of swallowing function therapeutic instrument in dysphagia after stroke.Methods Stroke patients with dysphagia treated in the Department of Rehabilitation Medicine of Qinghai University Affiliated Hospital between July 2018 and April 2020 were selected.The patients were randomly divided into experimental group and control group.The control group was treated with comprehensive rehabilitation treatment,and the experimental group was treated with comprehensive rehabilitation treatment and swallowing function therapeutic instrument.The improvement of dysphagia and the changes of clinical indexes were observed in the two groups.Results A total of 100 patients were included,with 50 patients in each group.Before the intervention,there was no significant difference between the two groups in Standardized Swallowing Assessment(SSA),video fluoroscopy swallowing study(VFSS),ultrasonic exercise amplitude and duration(P>0.05).After 4 weeks of intervention,the SSA score,VFSS score,ultrasonic exercise amplitude and duration of the two groups were improved compared with those before intervention(P<0.05),and the experimental group was better than the control group(P<0.05).The improvement of dysphagia between the two groups was statistically significant(Z=-2.452,P=0.014).The total effective rate of dysphagia improvement in the experimental group(92.00%)was higher than that in the control group(82.00%),but there was no significant difference between the two groups(χ^(2)=2.210,P=0.137).Conclusion The application of swallowing function therapeutic instrument in the adjuvant treatment of dysphagia after stroke is helpful to improve the clinical symptoms of patients and obtain ideal therapeutic effect,which is worth popularizing.

关 键 词：脑卒中 吞咽障碍 吞咽功能治疗仪 改善分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]