吞咽镜像视频联合吞咽功能训练对脑卒中后真性延髓麻痹吞咽障碍患者的影响

Effect of swallowing mirror video combined with deglutition function trainingon deglutition disorder of true bulbar palsy after stroke

目的 探讨吞咽镜像视频联合吞咽功能训练对脑卒中后真性延髓麻痹吞咽障碍患者的治疗效果。方法 选取2019年12月至2021年12月入住该院且符合入选标准的脑卒中后真性延髓麻痹合并吞咽障碍患者60例,采用随机数字表法分为对照组与观察组,各30例。对照组患者接受吞咽功能训练,观察组接受吞咽镜像视频结合吞咽功能训练。分别于入院24 h内(治疗前)和治疗1个月后,采用功能性经口摄食量表(FOIS)评定吞咽功能,采用颏下肌群表面肌电信号评定进食不同性状食物时的吞咽时程及平均振幅。结果 干预1个月后,2组患者FOIS评分较治疗前均改善,且观察组改善幅度高于对照组,差异均有统计学意义(P<0.05);2组患者进食不同性状食物时的吞咽时程及平均振幅较治疗前均改善,且观察组改善幅度高于对照组,差异均有统计学意义(P<0.05)。观察组总有效率(93.33%)高于对照组总有效率(70.00%),差异有统计学意义(P<0.05)。结论 吞咽镜像视频联合吞咽功能训练可有效改善脑卒中后真性延髓麻痹所致吞咽障碍患者的吞咽功能,促进患者康复。

Objective To investigate the effect of swallowing mirror video combined with swallowing function training in the treatment of swallowing disorder with true bulbar palsy after stroke.Methods A total of 60 patients admitted to the hospital from December 2019 to December 2021 with post-stroke true bulbar palsy complicated with dysphagia and meeting the inclusion criteria were selected,and they were divided into control group and observation group by random number table method,with 30 cases in each group.The control group received swallowing function training,and the observation group received swallowing mirror video combined with swallowing function training.The swallowing function was assessed by the functional transoral ingestion Scale(FOIS)within 24 h of admission(before treatment)and 1 month after treatment,and the swallowing duration and average amplitude were assessed by submental muscle group surface EMG signal.Results Compared with before treatment,FOIS scores after 1 month of intervention in both groups were improved,and the improvement of observation group was higher than that of control group,the differences were statistically significant(P<0.05).Compared with before treatment,the swallowing duration and average amplitude of the two groups were improved,and the improvement of observation group was higher than that of control group,the differences were statistically significant(P<0.05).The total effective rate of observation group(93.33%)was higher than that of control group(70.00%),the difference was statistically significant(P<0.05).Conclusion Swallowing mirror video combined with swallowing function training can effectively improve swallowing function of patients with swallowing disorder caused by bulbar palsy after stroke and promote their rehabilitation.