低频电刺激联合呼吸训练对成人原发性帕金森病吞咽障碍患者吞咽功能及生活质量的影响  

Effects of low-frequency electrical stimulation combined with respiratory training on swallowing function and quality of life in adult patients with Parkinson’s dysphagia

作　　者：周红[1] 黄东明[1] 黄澄[1] 陈映萍[1] 汪丽文 林俊良 李莹[1] ZHOU Hong;HUANG Dongming;HUANG Cheng;CHEN Yingping;WANG Liwen;LIN Junliang;LI Ying(Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区江滨医院,广西南宁530021

出　　处：《中国实用神经疾病杂志》2022年第8期953-958,共6页Chinese Journal of Practical Nervous Diseases

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费课题(编号:Z20201187);广西医疗卫生适宜技术开发与推广应用项目(编号:S201626)。

摘　　要：目的探讨低频电刺激联合呼吸训练对成人原发性帕金森病(PD)吞咽障碍患者吞咽功能和生活质量的影响。方法按照随机抽签法将2019-01—2021-12广西壮族自治区江滨医院收治的90例成人原发性PD伴吞咽障碍患者,随机分为对照组45例和观察组45例。其中对照组施以常规的吞咽功能训练,观察组则采用低频电刺激联合呼吸训练,比较2组吞咽优良率、吞咽功能(VFSS评分)以及生活质量(SWAL-QOF评分)水平,对2组舌骨喉复合体动度指标(舌骨向前、舌骨上移、喉向前以及喉上移最大幅度)进行观察比较,评估2组肺功能(FVC、FEV1)水平。结果观察组吞咽功能的优良率为91.11%,明显优于对照组的66.66%(P<0.05);治疗后2组VFSS、SWAL-QOF评分均有所提高,且观察组VFSS、SWAL-QOF评分[(8.55±1.28分)、(184.37±27.65)]分均明显高于对照组[(6.47±0.97)分、(169.41±25.41)分](P<0.05);治疗后2组舌骨喉复合体动度指标较治疗前均有所提高,治疗后观察组舌骨向前、舌骨上移、喉向前以及喉上移最大幅度依次为(11.18±1.67)mm、(16.87±2.53)mm、(18.72±2.80)mm、(28.44±4.26)mm,均明显高于对照组的(8.63±1.29)mm、(14.86±2.22)mm、(16.23±2.43)mm、(25.75±3.86)mm(P<0.05);治疗后观察组FVC、FEV1水平(2.96±0.44、2.82±0.42)与对照组(2.31±0.34、2.25±0.33)相比较,差异有统计学意义(P<0.05)。结论低频电刺激联合呼吸训练治疗PD吞咽障碍患者不仅有利于提高患者的吞咽功能,同时也能有效改善患者肺功能水平和生活质量。Objective To investigate the effects of low frequency electrical stimulation combined with respiratory training on swallowing function and quality of life in adult patients with primary Parkinson’s disease(PD)dysphagia.Methods According to the random drawing method,90 adult patients with primary PD complicated with dysphagia admitted to our hospital from January 2019 to December 2021 were divided into control group(n=45)and observation group(n=45).The control group received routine swallowing function training,and the observation group received low frequency electrical stimulation combined with breathing training.The excellent and good swallowing rate,swallowing function(VFSS score)and quality of life(SWAL-QOF score)of the two groups were compared.The activity indexes of hyoid bone and larynx complex(hyoid bone forward,hyoid bone upward,larynx forward and larynx upward maximum)were observed and compared between the two groups,and the lung function(FVC,FEV1)levels of the two groups were evaluated.Results The excellent and good rate of swallowing function in the observation group was 91.11%,which was significantly better than 66.66%in the control group(P<0.05).After treatment,the VFSS and SWAL-QOF scores of the two groups were improved,and the VFSS and SWAL-QOF scores of the observation group(8.55±1.28,184.37±27.65)were significantly higher than those of the control group(6.47±0.97,169.41±25.41)(P<0.05).After treatment,the hyoid-laryngolaryngopharyngeal complex motion indexes in both groups were improved compared with those before treatment,and after treatment,the maximum magnitudes of hyoid bone forward,hyoid bone upward movement,laryngeal forward movement and laryngeal upward movement in the observation group were(11.18±1.67)mm,(16.87±2.53)mm,(18.72±2.80)mm,(28.44±4.26)mm,which were significantly higher than those of the control group(8.63±1.29)mm,(14.86±2.22)mm.Compared with the control group(2.31±0.34,2.25±0.33),the levels of FVC and FEV1 in the observation group after treatment(2.96±0.44,2.82±0

关 键 词：帕金森病 吞咽障碍 呼吸训练 低频电刺激 

分 类 号：R742.5[医药卫生—神经病学与精神病学]