舌肌训练对脑卒中后吞咽困难患者舌肌及吞咽功能的影响  

Effects of Tongue Exercises on the Tongue Strength and Difficulty Swallowing After Stroke

作　　者：凌康 吴如意 杨作球 Ling Kang;Wu Ruyi;Yang Zuoqiu(Department of Rehabilitation Medicine,Chuzhou Integrated Chinese and Western Medicine Hospital,Chuzhou,Anhui,239000,China)

机构地区：[1]滁州市中西医结合医院康复医学科,安徽滁州239000 [2]滁州康复医院康复医学科,安徽滁州239000

出　　处：《黑龙江医学》2024年第11期1373-1375,共3页Heilongjiang Medical Journal

摘　　要：目的:分析舌肌训练对脑卒中吞咽困难患者舌肌及吞咽功能的影响。方法:选取2020年2月—2022年2月在滁州市中西医结合医院康复科住院的60例脑卒中吞咽困难患者作为研究对象,随机分为实验组和对照组,每组各30例。对照组患者实施常规吞咽功能训练,实验组在对照组的基础上联合舌肌训练,分别评估治疗前后患者吞咽功能障碍评价标准评分及功能性经口摄食评分(FOIS)。结果:治疗后,两组患者舌肌、咀嚼肌及咽喉肌较治疗前明显提高,实验组患者舌肌得分明显高于对照组,差异有统计学意义(t=-3.168,P<0.05);治疗后,两组患者FOIS得分较治疗前明显提高,且实验组FOIS明显高于对照组,差异有统计学意义(t=-2.860,P<0.05)。结论:舌肌训练能够增强脑卒中吞咽困难患者舌肌肌力,促进其吞咽功能的恢复。Objective:To investigate the tongue exercises training on the tongue strength and difficulty swallowing after stroke.Methods:60 patients with difficulty swallowing after stroke admitted to the hospital ftom Feb.2020 to Feb.2022 were seretted as the study subjects,and they were randomly divide into control group(n=30)and treatment group(n=30).The control group was only treated with swallowing function training,while the treatment group was treated with swallowing function training and tongue exercises.The criteria for evaluation of dysphagia and function oral intake scale were assessment before and after treatment.Results:After treatment,the scores of tongue muscle,masticatory muscle and throat muscle in two groups were significantly higher than before treatment,and the scores of tongue muscle in the experimental group were significantly higher than those in the control group,with statistically significant difference(t=-3.168,P<0.05).After treatment,the FOIS score of the two groups was significantly higher than that before treatment,and the FOIS score of the experimental group was significantly higher than that of the control group,with statistically significant difference(t=-2.860,P<0.05).Conclusion:Tongue exercises can enhance the strength of tongue,and effectively promote swallowing function after stroke.

关 键 词：脑卒中 吞咽困难 舌肌训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]