摘要
目的 探讨改良吞咽康复操联合中药咽部冷刺激对脑卒中吞咽障碍患者康复效果及生活质量的影响。方法 选择2021年5月—2023年1月在本院神经内科建档的脑卒中吞咽障碍患者130例为研究对象,采用随机数表法分为研究组和对照组两组,每组各65例。对照组实施常规干预,研究组实施改良吞咽康复操联合中药咽部冷刺激干预,共连续干预1个月,比较两组患者干预前后吞咽功能、舌骨喉复合体动度、生活质量。结果 干预前,两组患者洼田氏饮水试验分级、功能性经口摄食实验(FOIS)评分、吞咽障碍特异性生活质量量表(SWAL-QOL)评分、舌骨喉复合体动度指标,组间对应比较均无统计学意义(P>0.05)。干预1个月后,研究组洼田氏饮水试验分级优于对照组,差异具有统计学意义(P<0.05);研究组FOIS评分为(5.17±1.35)分,SWAL-QOL评分为(169.75±12.69)分,明显高于对照组的(3.04±0.87)分、(141.84±11.77)分,组间比较差异均具有统计学意义(P<0.05);研究组舌骨喉复合体动度舌骨前移、舌骨上移、甲状软骨前移前移、甲状软骨上移距离均大于对照组,组间比较差异均具有统计学意义(P<0.05)。结论 改良吞咽康复操联合中药咽部冷刺激可有效促进脑卒中吞咽障碍患者吞咽功能康复,提升舌骨喉复合体动度和患者生活质量。
Objective To explore the influence of improved swallowing rehabilitation exercises combined with traditional Chinese medicine pharyngeal cold stimulation on the rehabilitation effect and quality of life of stroke patients with swallowing disorders.Methods 130 stroke patients with swallowing disorders who were registered in the neurology department of our hospital from May 2021 to January 2023 were selected as the study subjects.They were randomly divided into a study group and a control group using a random number table method,with 65 cases in each group.The control group received routine intervention,while the research group received improved swallowing and rehabilitation exercises combined with traditional Chinese medicine pharyngeal cold stimulation intervention for a total of one month.The swallowing function,hyoid laryngeal complex motility,and life quality of the two groups were compared before and after the intervention.Results Before intervention,there were no statistically significant difference in the Wada's drinking water test grading,functional oral feeding test(FOIS)score,swallowing quality of life scale(SWAL-QOL)score,and hyoid laryngeal complex motility index between the two groups(P>0.05).After one month of intervention,the Wada's drinking water test grading in the study group was better than that in the control group,and the difference was statistically significant(P<0.05).The FOIS score of the study group was(5.17±1.35)points,and the SWAL-QOL score was(169.75±12.69)points,which were significantly higher than(3.04±0.87)points and(141.84±11.77)points of the control group,the differences between the groups were statistically significant(P<0.05).The mobility(including hyoid bone moving forward,hyoid bone moving up,thyroid cartilage moving forward,and thyroid cartilage moving up)of the hyoid laryngeal complex in the study group was greater than that in the control group,the differences between the groups were statistically significant(P<0.05).Conclusions The combination of improved swallowing rehabilitation exercises and traditional Chinese medicine pharyngeal cold stimulation can effectively promote the recovery of swallowing function in stroke patients with swallowing disorders,improve the mobility of the hyoid laryngeal complex and the life quality of patients.
作者
宋敬畏
石珂
杜中丽
Song Jingwei;Shi Ke;Du Zhongli(Nanyang Central Hospital,Nanyang,Henan 473000,China;Children's Hospital of Tanghe County,Nanyang,Henan 473400,China)
出处
《齐齐哈尔医学院学报》
2023年第21期2083-2087,共5页
Journal of Qiqihar Medical University
关键词
脑卒中
吞咽障碍
改良吞咽康复操
中药咽部冷刺激
康复效果
生活质量
Stroke
Swallowing disorders
Improved swallowing rehabilitation exercises
Cold stimulation of the pharynx with traditional Chinese medicine
Rehabilitation effect
Quality of Life
