分析呼吸训练联合吞咽功能障碍治疗仪干预对脑梗死恢复期患者肺通气功能、吞咽功能的改善情况  

Analysis of the Effect of Respiratory Training Combined with Swallowing Dysfunction Therapy Instrument Intervention on the Improvement of Pulmonary Ventilation Function and Swallowing Function in Patients with Convalescent Stage of Cerebral Infarction

作　　者：张琳静 ZHANG Linjing(Second ward,Department of Rehabilitation,Xingtai People's Hospital,Xingtai 054001,China)

机构地区：[1]邢台市人民医院康复科二病区,河北邢台054001

出　　处：《反射疗法与康复医学》2024年第14期64-67,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析呼吸训练联合吞咽功能障碍治疗仪干预对脑梗死恢复期患者肺通气功能、吞咽功能的改善情况。方法选取2021年1月—2022年8月邢台市人民医院收治的96例脑梗死恢复期患者为研究对象,按随机数字表法将其分为对照组和观察组,每组48例。对照组采用常规训练干预,观察组采用呼吸训练联合吞咽功能障碍治疗仪干预。对比两组的肺通气功能、吞咽能力、不良事件发生情况。结果干预前,两组肺通气功能、吞咽能力对比,组间差异无统计学意义(P>0.05);干预后,观察组最大呼气流量、第1秒用力呼气容积、用力肺活量均大于对照组,标准吞咽评价量表、标准化吞钡造影功能障碍评价量表评分均低于对照组,组间差异有统计学意义(P<0.05);观察组不良事件发生率为4.17%,低于对照组的16.67%,差异有统计学意义(P<0.05)。结论呼吸训练联合吞咽功能障碍治疗仪干预脑梗死恢复期患者,可有效改善其肺通气功能及吞咽能力,且可降低不良事件发生率。Objective Analysis of the effect of respiratory training combined with swallowing dysfunction therapy instrument intervention on the improvement of pulmonary ventilation function and swallowing function in patients with convalescent stage of cerebral infarction.Methods A total of 96 patients with convalescent stage of cerebral infarction admitted to Xingtai People's Hospital from January 2021 to August 2022 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 48 cases in each group.The control group received conventional training intervention,while the observation group received respiratory training combined with swallowing dysfunction therapy instrument intervention.Compare the pulmonary ventilation function,swallowing ability and occurrence of adverse events between the two groups.Results Before intervention,the pulmonary ventilation function and swallowing ability of the two groups were compared,and the differences between the groups were no statistically significant(P>0.05);after intervention,the maximum expiratory flow,forced expiratory volume in the first second,and forced vital capacity of the observation group were all greater than those of the control group.the scores of Video fluoroscopic swallowing study and the Standardized Barium Swallow Dysfunction Evaluation Scale of the observation group were all lower than those of the control group,and the differences between the groups were statistically significant(P<0.05);the incidence of adverse events in the observation group was 4.17%,which was lower than 16.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Respiratory training combined with swallowing dysfunction therapy instrument intervention can effectively improve the pulmonary ventilation function and swallowing ability of patients with convalescent stage of cerebral infarction,and can also reduce the incidence of adverse events.

关 键 词：脑梗死恢复期 呼吸训练 吞咽功能障碍治疗仪 肺通气功能 吞咽功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]