酸冰刺激疗法联合舌压抗阻反馈训练对脑卒中后吞咽障碍患者进食情况的影响  

The effect of acid ice stimulation therapy combined with tongue pressure resistance feedback training on food intake in patients with post-stroke swallowing disorders

作　　者：许婷婷[1] 许瑞旭 林秀瑶[1] 许玲玲[1] XU Tingting;XU Ruixu;LIN Xiuyao;XU Lingling(Department of Rehabilitation Medicine,Quanzhou First Hospital affiliated to Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属泉州第一医院康复医学科,泉州362000

出　　处：《上海医药》2025年第3期44-47,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：泉州市科研计划重点项目(2022N058)。

摘　　要：目的:探讨酸冰刺激疗法联合舌压抗阻反馈训练对脑卒中后吞咽障碍患者进食情况的影响。方法:回顾性分析92例脑卒中后吞咽障碍患者的临床资料。按照治疗方法不同,将患者分为2组。对照组患者给予舌压抗阻反馈训练,治疗组在对照组基础上联合酸冰刺激疗法,均连续治疗4周。观察2组临床疗效。结果:治疗后,治疗组总有效率高于对照组,摄食量、喉上升、食物残留、误吸症状评分、吞咽时程均明显低于对照组(P<0.05),表面肌电图最大波幅明显高于对照组(P<0.05)。结论:酸冰刺激疗法联合舌压抗阻反馈训练可显著改善脑卒中后吞咽障碍患者的进食状况。Objective:To investigate the effect of acid ice stimulation therapy combined with tongue pressure resistance feedback training on the eating condition of patients with swallowing disorder after stroke.Methods:The clinical data from 92 patients with dysphagia after stroke were retrospectively analyzed.The patients were divided into two groups according to different treatment methods.Both groups were given tongue pressure resistance feedback training,the treatment group was additionally treated with acid ice stimulation therapy,and the treatment was lasted for 4 weeks.The clinical effect of two groups was observed.Results:After treatment,the total effective rate was higher,while food intake,laryngeal rise,food residue,aspiration symptom score,and swallowing duration were significantly lower and surface EMG maximum amplitude was significantly higher in the treatment group than the control group(P<0.05).Conclusion:Acid ice stimulation therapy combined with tongue pressure resistance feedback training can significantly improve the eating status of patients with swallowing disorder after stroke.

关 键 词：脑卒中 吞咽障碍 酸冰刺激疗法 舌压抗阻反馈训练 

分 类 号：R454.5[医药卫生—治疗学] R743.3[医药卫生—临床医学]