舌压抗阻反馈训练治疗脑卒中后吞咽障碍的疗效观察

The effects of tongue pressure resistance feedback training on post-stroke dysphagia

目的 探讨舌压抗阻反馈训练在脑卒中后吞咽障碍治疗中的临床应用。方法 选取脑卒中后吞咽障碍患者20例,按照随机数字表法将其分为实验组和对照组,每组10例。对照组给予常规吞咽康复训练治疗,实验组在对照组基础上给予舌压抗阻反馈训练治疗。治疗前、后对2组患者行吞咽造影检查,并使用MBSImp分析方法和Rosenbek渗漏/误吸量表进行量化分析,观察并记录患者的吞咽相关指标。结果 2组患者治疗前口腔期、咽期吞咽功能评分及误吸情况评分比较,差异无统计学意义(P>0.05)。与组内治疗前比较,实验组咽期吞咽功能评分[(5.70±2.02)分]降低,误吸情况[(1.87±1.36)分]显著改善(P<0.05)。与对照组治疗后同指标比较,实验组误吸较少。结论 舌压抗阻反馈训练可显著改善患者的咽期吞咽情况,减少吞咽后误吸风险。

Objective To explore the clinical utility of tongue pressure resistance feedback training in the treatment of post-stroke dysphagia.Methods Twenty stroke survivors with dysphagia were randomly divided into an experimental group and a control group.Both groups were given conventional swallowing rehabilitation training,while the experimental group was additionally provided with tongue pressure resistance feedback training.Before and after the treatment,MBSImp analysis and the Rosenbek penetration aspiration scale were used to quantify the control of the tongue,food delivery,oral residue,laryngeal elevation,hyoid bone movement,epiglottis turnover,larynx closure,vestibular larynx closure,pharyngal peristalsis and contraction,opening of the upper esophageal sphincter UES,con-traction of the base of the tongue,pharyngeal residue and aspiration.Results No significant differences were ob-served between the two groups before the intervention.Afterward the average pharyngeal period and aspiration score of the experimental group had decreased significantly compared with the control group′s values.Conclusions Tongue pressure resistance feedback training is effective in improving pharyngeal swallowing and reducing the risk of aspira-tion after swallowing.