口咽健康操联合引导式教育在阿尔茨海默病患者吞咽障碍康复训练中的应用

Effect of oropharyngeal healthy exercise combined with guided education in the treatment of dysphagia in patients with Alzheimer's disease

目的探讨口咽健康操联合引导式教育在阿尔茨海默病(Alzheimer's disease,AD)患者吞咽障碍康复训练中应用的效果。方法 2014年5月-2015年8月,选择在老年精神科住院的90例AD且伴有吞咽障碍的患者为研究对象,采用随机数字表法将患者分为研究组和对照组,每组各45例,对照组患者采用常规的口咽部肌群训练进行康复训练,研究组患者在对照组基础上采用口咽健康操联合引导式教育进行康复训练。康复训练后4周比较两组患者吞咽障碍治疗总有效率。结果两组患者吞咽障碍治疗总有效率比较,P<0.01,差异有统计学意义,研究组患者总有效率明显高于对照组。结论口咽健康操联合引导式教育能有效促进AD患者吞咽功能恢复,值得临床推广应用。

Objective To explore the effect of oropharyngeal healthy exercise combined with guided education in the treatment of dysphagia in patients with Alzheimer＇s disease（AD）. Methods 90 AD inpatients in the geriatric psychiatric department of Guangzhou Huiai Hospital during May 2014 and August 2015 were equally randomized into the study group and the control group with a random digit table： the former group was treated with routine oral muscles training and the latter with oropharyngeal healthy exercises combined with guided education plus routine muscles training. The comparison was done between the groups in terms of the total curative effectiveness 4 weeks following the intervention. Result The total effective rate in the study group was significantly higher than that in the control group（P〈0.01）. Conclusion The oropharyngeal healthy exercise combined with guided education can effectively promote the recovery of swallowing function in AD patients.