专项康复训练对ALS患者日常生活能力及吞咽功能的临床疗效分析  

Analysis of clinical efficacy of specialized rehabilitation training on activity of daily living and swallowing function in ALS patients

作　　者：李响 侯丽淳[2] LI Xiang;HOU Li-chun(Department of Rehabilitation Medicine,Beijing United Family Rehabilitation Hospital,Beijing 100123,China)

机构地区：[1]北京和睦家康复医院康复医学科,100123 [2]佳木斯大学附属第一医院神经内科,154000

出　　处：《中国现代药物应用》2024年第19期156-159,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察专项康复训练对肌萎缩侧索硬化(ALS)患者日常生活能力及吞咽功能的临床效果,以期提高患者的生活质量。方法50例ALS患者,随机分为对照组和观察组,每组25例,两组均给予常规基础治疗及护理,观察组在此基础上给予专项康复训练。对比两组患者治疗前后改良巴氏指数评定量表(MBI)评分及洼田饮水试验分级。结果治疗后,观察组MBI评分65.00(60.00,72.50)分较治疗前的60.00(45.00,65.00)分升高,且高于对照组的55.00(50.00,60.00)分,差异具有统计学意义(P<0.05)。治疗后,观察组洼田饮水试验分级较治疗前改善,差异具有统计学意义(Z=2.225,P=0.026<0.05);治疗后,对照组洼田饮水试验分级与治疗前对比差异无统计学意义(Z=1.552,P=0.121>0.05);治疗后,观察组洼田饮水试验分级优于对照组,差异具有统计学意义(Z=3.512,P=0.000<0.05)。结论专项康复训练可提高ALS患者日常生活能力和吞咽功能,从而改善ALS患者生活质量,减轻疾病带来的影响,具有临床应用价值。Objective To observe the clinical effect of specialized rehabilitation training on activity of daily living and swallowing function of patients with amyotrophic lateral sclerosis(ALS),so as to improve the quality of life of patients.Methods 50 cases of ALS patients were randomly divided into a control group and an observation group,with 25 patients in each group.Both groups were given routine basic treatment and nursing,and the observation group was also given specialized rehabilitation training.The modified Barthel index(MBI)score and water swallow test before and after treatment were compared between the two groups.Results After treatment,MBI score of 65.00(60.00,72.50)points in the observation group was higher than 60.00(45.00,65.00)points before treatment in this group,and higher than 55.00(50.00,60.00)points in the control group.The difference was statistically significant(P<0.05).In the observation group,the grade of water swallow test after treatment was improved compared with that before treatment,and the difference was statistically significant(Z=2.225,P=0.026<0.05).In the control group,there was no significant difference in the grade of water swallow test before and after treatment(Z=1.552,P=0.121>0.05).After treatment,the grade of water swallow test in the observation group was better than that in the control group,and the difference was statistically significant(Z=3.512,P=0.000<0.05).Conclusion Specialized rehabilitation training can improve the activity of daily living and swallowing function in ALS patients,thereby improving patients'quality of life and reducing the impact of disease,which has clinical application value.

关 键 词：肌萎缩侧索硬化 专项康复训练 作业疗法 言语吞咽疗法 吞咽功能 日常生活能力 

分 类 号：R744.8[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]