目标式舌压抗阻训练对脑卒中吞咽障碍患者康复效果影响观察  

Effect of Targeted Tongue Pressure Resistance Training on Rehabilitation of Stroke Patients with Dysphagia

作　　者：马莉 王者凤 严丽丽 Ma Li;Wang Zhefeng;Yan Lili(Department of Rehabilitation Traditional Chinese Medicine,Jianhu Clinical Medical College,Yangzhou University,Yancheng,Jiangsu,224700,China)

机构地区：[1]扬州大学建湖临床医学院康复中医科,江苏盐城224700

出　　处：《黑龙江医学》2024年第24期3036-3038,共3页Heilongjiang Medical Journal

基　　金：江苏省基础研究计划青年基金面上项目(BK20211105)。

摘　　要：目的:分析目标式舌压抗阻训练对脑卒中吞咽障碍患者康复效果的影响。方法:选取2021年1月—2022年12月扬州大学建湖临床医学院康复科收治的122例脑卒中吞咽障碍患者作为研究对象,按收治时间将其分为对照组(61例)和观察组(61例),分别实施传统舌压抗阻训练和目标式舌压抗阻训练。对比分析两组患者舌压以及功能、生活质量评分。结果:干预后,两组患者各舌压指标水平均明显提高,且观察组水平高于对照组,差异均有统计学意义(t=2.056、3.117、2.368,P<0.05);干预后,两组患者经口摄食功能量表(FOIS)、吞咽障碍特异性生活质量量表(SWAL-QOL)评分均明显提高且观察组水平高于对照组,两组患者Rosenbek渗透-误吸量表(PAS)评分明显降低且观察组水平低于对照组,差异均有统计学意义(t=3.081、2.674、2.976,P<0.05)。结论:给予脑卒中吞咽障碍患者目标式舌压抗阻训练可有效提高患者舌肌电水平,提高吞咽、摄食功能,有利于提高患者生活质量。Objective:To analyze the effect of targeted tongue pressure resistance training on rehabilitation of stroke patients with dysphagia.Methods:A total of 122 stroke patients with dysphagia admitted to the Rehabilitation Department,Jianhu Clinical Medical College,Yangzhou University from January 2021 to December 2022 were selected as research objects.61 patients were included in the control group,and 61 patients were included in the observation group according to the admission time.The control group and the observation group received traditional tongue pressure resistance training and target tongue pressure resistance training respectively.Tongue pressure,function and quality of life scores were compared between the two groups.Results:After intervention,tongue pressure index levels of patients were significantly increased,and the level of observation group was higher than that of control group,with statistically significant difference(t=2.056,3.117,2.368;P<0.05).After intervention,the scores of Rosenbek Penetration-aspiration Scale(PAS),oral Feeding Function Scale(FOIS),and SWAL-QOL were significantly improved in the observation group compared with the control group.PAS scores in observation group were significantly lower than those in control group(t=3.081,2.674,2.976;P<0.05).Conclusion:Targeted tongue pressure resistance training for stroke patients with dysphagia disorder can effectively improve the level of tongue electromyography,improve the swallowing and feeding function,and promote the quality of life of patients.

关 键 词：目标式 舌压抗阻训练 吞咽障碍 摄食功能 生活质量 

分 类 号：R493[医药卫生—康复医学]