Shaker训练法联合摄食训练治疗帕金森病吞咽障碍效果观察

Observation on the effect of shaker training combined with oral feeding training on dysphagia caused by Parkinson′s disease

目的:探讨Shaker训练法联合摄食训练对帕金森病(Parkinson′s disease,PD)所致吞咽障碍的疗效。方法:选取2017年5月—2018年7月伴吞咽障碍的PD患者42例,随机分为两组,各21例。对照组进行常规吞咽康复训练,观察组在常规训练基础上进行Shaker训练法和摄食训练,为期4周,训练前后用进食评估问卷调查工具-10(eating assessment tools-10,EAT-10)和反复唾液吞咽试验(the repetitive saliva swallowing test,RSST)进行效果评价。结果:干预前两组EAT-10和RSST评估结果差异无统计学意义(P>0.05),干预后两组EAT-10和RSST结果皆优于治疗前(P<0.05),且观察组优于对照组(P<0.05)。结论:Shaker训练法联合摄食训练对PD吞咽障碍有效,能提高患者生活质量,减少误吸。

Objective:To investigate the effect of Shaker exercise combined with oral feeding training on swallowing disorders caused by Parkinson′s disease(PD).Methods:From May 2017 to July 2018,42 cases of patients with dysphagia caused by PD were selected and divided into treatment group and control group.The control group received routine intervention,while the treatment group received Shaker exercise combined with oral feeding training on the basis of routine training for 4 weeks.Before and after the training,eating assessment tools-10(EAT-10)and the repetitive saliva swallowing test(RSST)were compared.Results:There was no significant difference between the groups before intervention on the basis of EAT-10 and RSST(P>0.05).But the results showed progress in both groups after treatment(P<0.05),and the treatment group was better than the control group(P<0.05).Conclusion:Shaker exercise combined with oral feeding training can effectively improve the patienets′swallowing function,enhance the quality of life and reduce aspiration.