推拿结合吞咽肌反馈治疗对脑卒中后吞咽障碍患者临床疗效观察  

Clinical effect of massage combined with swallowing muscle feedback therapy on patients with dysphagia after stroke

作　　者：李俊[1] 杨东强 Li Jun;Yang Dongqiang(Fuyang institute of technology,Fuyang,Anhui,236000,China;The fourth people's hospital of Fuyang,Fuyang,Anhui,236000,China)

机构地区：[1]阜阳职业技术学院,安徽阜阳236000 [2]阜阳市第四人民医院,安徽阜阳236000

出　　处：《齐齐哈尔医学院学报》2022年第12期1198-1200,F0003,共4页Journal of Qiqihar Medical University

基　　金：安徽省教育厅2020年度高校优秀拔尖人才培育资助项目“高校优秀青年人才支持计划项目”(gxyq2020147);安徽省教育厅2020年度高等学校省级质量工程项目“临床医学专业教学团队”(2020jxtd195)。

摘　　要：目的 探讨推拿结合吞咽肌反馈治疗对脑卒中后吞咽障碍患者临床疗效。方法 选择2019年10月—2021年12月本院收治的68例脑卒中后吞咽障碍患者作为研究对象,按照入院治疗顺序随机分为对照组及实验组两组,每组各34例。对照组行常规康复治疗,实验组在对照组基础上行推拿结合吞咽肌反馈治疗,共治疗4周。于治疗前后,对两组患者进行总有效率、洼田饮水实验评级、标准吞咽功能评定量表(SSA)评定、Barthel指数评分及治疗后的误吸及吸入性肺炎发生率进行比较。结果 治疗后,两组患者总有效率比较,差异有统计学意义(P<0.05);实验组的吞咽功能评级优于对照组,差异有统计学意义(P<0.05)。实验组的SSA评分、Barthel评分优于对照组,差异有统计学意义(P<0.05)。实验组的误吸及吸入性肺炎发生率与对照组比较,差异无统计学意义(P>0.05)。结论 推拿结合吞咽肌反馈治疗对脑卒中后吞咽障碍的临床疗效显著,可以减轻患者的吞咽功能障碍程度,改善患者的吞咽功能,提高患者的生活质量。Objective To investigate the clinical effect of massage combined with swallowing muscle feedback therapy on patients with dysphagia after stroke.Methods 68 patients with dysphagia after stroke, those were admitted to the hospital during October 2019 and December 2021,were selected as study objects, and they were randomly divided into control group and experimental group according to their sequence of treatment, with 34 cases in each group.The control group received routine rehabilitation treatment, and the experimental group received massage combined with swallowing muscle feedback treatment on the basis of the control group, the treatment lasted for 4 weeks.Before and after treatment, the total response rate, the rating of Kubota drinking test, the assessment of standard swallowing assessment scale(SSA),Barthel index score, and the incidence of aspiration and aspiration pneumonia after treatment were compared between the two groups.Results After treatment, the difference in the total effective rate between the 2 groups was statistically significant(P<0.05).The swallowing function of the experimental group was better than that of the control group, with statistical significance(P<0.05).The SSA score and Barthel score of the experimental group were better than those of the control group, with statistical significance(P<0.05).There was no statistical significance in the incidence of aspiration and aspiration pneumonia in the experimental group compared with the control group(P>0.05).Conclusions Massage combined with swallowing muscle feedback therapy has significant clinical effect on dysphagia after stroke, which could reduce the degree of dysphagia, improve the swallowing function and improve the quality of life of patients.

关 键 词：吞咽肌刺激 推拿 脑卒中 吞咽障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]