量化藕粉吞糊试验联合冰刺激对卒中后吞咽障碍舌骨喉活动度及吞咽功能影响  

Quantifying the Effects of Lotus Root Powder Swallowing Paste Test Combined with Ice Stimulation on Hyoid Laryngeal Activity and Swallowing Function in Patients with Dysphagia after Stroke

作　　者：李彦岩 LI Yan-yan(Department of Rehabilitation Medicine,The First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,Henan Province,China)

机构地区：[1]南阳医专一附院康复医学科,河南南阳473000

出　　处：《罕少疾病杂志》2025年第3期20-22,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 探究量化藕粉吞糊试验联合冰刺激对卒中后吞咽障碍患者舌骨喉活动度及吞咽功能的影响。方法 随机选取2021年1月至2023年1月本院收治的卒中后吞咽障碍患者104例,根据数字表法随机分成2组,对照组(n=52)给予常规吞咽训,练,研究组(n=52)在常规吞咽训练的基础上给予量化藕粉吞糊试验联合冰刺激,比较两组干预前后的舌骨喉活动度、吞咽功能、营养状况[甘油三酯(TG)血清白蛋白(ALB)、体质量指数(BMI)、三头肌皮褶厚度(TSF)]变化以及不良事件发生率差异。结果 干预后.,两组的舌骨上移、舌骨前移、甲状软骨上移、甲状.软骨前移距离以及DOSS评分、ALB、BMI、TSF水平均高于同组干预前,且研究组高于对照组(P<005)。干预后,两组的SSA评分均低于同组干预前(P<005),并且研究组的SSA评分低于对照组(P<005);两组的误吸、呛咳、感染等不良事件发生率比较,差异无统计学意义(P>005)。结论 对于卒中后吞咽障碍的患者,量化藕粉吞糊试验与冰刺激的联合应用能够显著改善患者的舌骨喉活动度、吞咽功能和营养状态,安全性高,为卒中后吞咽障碍患者临床策略的制定提供参考。Objective To explore the effects of quantified lotus root powder swallowing paste test combined with ice stimulation on hyoid laryngeal activity and swallowing function in patients with dysphagia after stroke.Methods A total of 104 patients with dysphagia after stroke admitted to our hospital from January 2021 to January 2023 were randomly selected and divided into 2 groups according to the numerical table method.The control group(n=52)was given routine swallowing training,while the study group(n=52)was given quantified lotus root powder swallowing and paste test combined with ice stimulation on the basis of routine swallowing training.The hyolaryngeal activity,swallowing function,nutritional status[triglyceride(TG),serum albumin(ALB),body mass index(BMI),tricep skin fold thickness(TSF)]and the incidence of adverse events were compared between the two groups before and after intervention.Results After intervention,the ascending hyoid,ascending hyoid,ascending thyroid cartilage,advancing distance of thyroid cartilage,DOSS score,ALB,BMI and TSH levels in two groups were higher than before intervention,and the study group was higher than the control group(P<0.05).After intervention,SSA scores in both groups were lower than before intervention(P<0.05),and SSA scores in the study group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of aspiration,cough,infection and other adverse events between the two groups(P>0.05).Conclusion For patients with dysphagia after stroke,the combination of quantified lotus root powder swallowing test and ice stimulation can significantly improve the hyoid laryngeal motion,swallowing function and nutritional status of patients with dysphagia,with high safety,and provide reference for the formulation of clinical strategies for patients with dysphagia after stroke.

关 键 词：量化藕粉吞糊试验 咽部冰刺激训练 吞咽障碍 舌骨喉活动度 吞咽功能 

分 类 号：R766.5[医药卫生—耳鼻咽喉科]