吞咽治疗仪联合摄食训练在帕金森病伴吞咽障碍患者中的应用  

Application of Swallowing Therapeutic Instrument Combined with Feeding Training in Patients with Parkinson’s Disease Complicated with Dysphagia

作　　者：郭珈妤 孙文文 李洋洋[1] Guo Jiayu;Sun Wenwen;Li Yangyang(Department of Rehabilitation Medicine,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000)

机构地区：[1]河南科技大学第一附属医院康复医学科,洛阳471000

出　　处：《数理医药学杂志》2022年第8期1224-1227,共4页Journal of Mathematical Medicine

摘　　要：目的:探究帕金森病伴吞咽障碍患者采用吞咽治疗仪联合摄食训练在临床中的应用效果。方法:本次研究对象选自某院康复医学科在2018年5月-2021年7月间接收的65例帕金森病伴吞咽障碍患者,通过随机分配将所有患者分为对照组(n=32)和研究组(n=33)。在研究过程中,两组在常规治疗基础上均予以摄食训练的治疗方式,研究组在此治疗基础上增加使用吞咽治疗仪进行联合治疗,以10天为1个疗程,两组均治疗2个疗程。比较两组帕金森病吞咽障碍患者治疗2个疗程后的效果;观察和对比治疗前后两组患者吞咽功能、生命质量的改善情况;记录两组患者在治疗期间发生的不良反应和并发症的例数。结果:经过2个疗程的治疗,研究组的总有效率高于对照组且对比差异有统计学意义(P<0.05);两组患者的SSA评分均有所下降且研究组下降的趋势更加明显,两组对比差异有统计学意义(P<0.05);两组患者的SWAL-QOL评分均有所下降且研究组下降的趋势更加明显,两组对比差异有统计学意义(P<0.05);经过治疗后的研究组的不良反应发生的例数低于对照组但两组对比差异无统计学意义(P>0.05)。结论:帕金森病伴吞咽障碍患者采用吞咽治疗仪联合摄食训练对其吞咽功能的恢复具有促进作用,增强了患者的摄食能力,改善了生活质量。Objective:To explore the clinical effect of swallowing therapeutic instrument combined with feeding training in patients with Parkinson’s disease complicated with dysphagia.Methods:65 patients with Parkinson’s disease complicated with dysphagia treated in a hospital from May 2018 to July 2021 were selected and randomly divided into control group(n=32 cases)and study group(n=33 cases).During the study,both groups were given the treatment method of feeding training on the basis of routine treatment.On this basis,the study group was given swallowing therapeutic instrument for combined treatment.Taking 10 days as a course of treatment,and both were treated for 2 consecutive courses.The effects of patients with Parkinson’s disease complicated with dysphagia in the two groups after two courses of treatment were compared;The improvement of swallowing function and quality of life of patients in the two groups before and after treatment were observed and compared;The number of cases of adverse reactions and complications of patients in the two groups during the treatment was recorded.Results:After two courses of treatment,the total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The SSA score of patients in both groups was decreased,the downward trend of the study group was more obvious,and the difference between the two groups was statistically significant(P<0.05).The SWAL-QOL score of both groups was decreased,the downward trend of the study group was more obvious,and he difference between the two groups was statistically significant(P<0.05).The number of adverse reactions in the study group after treatment was lower than that in the control group,and there was no statistically significant difference between the two groups(P>0.05).Conclusion:Swallowing therapeutic instrument combined with feeding training can promote the recovery of swallowing function in patients with Parkinson’s disease complicated with dysphagia,improve the a

关 键 词：帕金森病 吞咽障碍 摄食训练 吞咽治疗仪 吞咽功能 生命质量 

分 类 号：R741[医药卫生—神经病学与精神病学]