摘要
目的观察运动想象疗法在脑卒中吞咽障碍患者康复护理中的作用。方法将206例脑卒中吞咽障碍患者随机分为对照组和观察组各103例。对照组采用基础训练、摄食训练进行吞咽功能康复锻炼,观察组在此基础上增加运动想象疗法。结果干预6周后,观察组吞咽功能显著优于对照组,吸入性肺炎发生率显著低于对照组,鼻饲管拔出率显著高于对照组(均P<0.01)。结论运动想象疗法能显著改善脑卒中吞咽障碍患者的吞咽功能,减少并发症发生,使患者尽早摆脱鼻饲,有利于康复。
Objective To explore the effects of motor imagery training on swallowing function of stoke patients with dysphagia. Me- thods Totally, 206 stroke patients with dysphagia were randomly divided into a control group and an observation group of 103. The controls were given traditional swallowing and feeding training, while the observation group additionally received a 6-week motor imagery training program. Results Swallowing function, incidence of aspiration pneumonia, and the rate of removal of nasal feeding tube showed significant differences between the two groups after intervention （P〈0.01 for all）. Conclusion Application of motor imagery training to swallowing training in stroke patients with dysphagia, can improve swallowing function, reduce complications, and remove feeding tubes as early as possible.
关键词
脑卒中
吞咽障碍
运动想象疗法
摄食训练
吞咽功能
吸入性肺炎
鼻饲
stroke
dysphagia motor imagery training
feeding training
swallowing function
aspiration pneumonia
nasal feeding
