低频脉冲治疗仪联合下颏抗阻力训练在缺血性脑卒中后吞咽障碍患者中的应用

Application of low-frequency pulse therapy combined with chin tuck against resistance exercise on patients with swallowing disorders after ischemic stroke

目的探讨低频脉冲治疗仪联合下颏抗阻力训练(CTAR)在缺血性脑卒中后吞咽障碍患者中的应用效果。方法随机对照研究。抽取2021年1月至2023年6月河南省人民医院收治的缺血性脑卒中后吞咽障碍患者124例,按照随机数表法分为对照组(62例)与观察组(62例)。对照组采用常规吞咽训练联合低频脉冲治疗仪治疗,观察组采用低频脉冲治疗仪联合CTAR治疗。比较两组治疗后吞咽功能、口咽部形态、生活质量及并发症发生情况。结果治疗后,两组洼田饮水试验加权评分、标准吞咽功能评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组腭后距离、舌后距离长于治疗前,软腭长度短于治疗前,观察组腭后距离、舌后距离长于对照组,观察组软腭长度短于对照组,差异有统计学意义(P<0.05)。治疗后,两组生活质量及吞咽症状评分高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(0.00%,0/62)与对照组(3.23%,2/62)比较差异未见统计学意义(P>0.05)。结论低频脉冲治疗仪联合CTAR在缺血性脑卒中吞咽障碍患者中的应用效果较好,可有效改善吞咽功能,纠正口咽部形态,提高患者生活质量。

Objective To investigate the application effect of low-frequency pulse therapy combined with chin tuck against resistance exercise(CTAR)on patients with swallowing disorders after ischemic stroke.Methods This study was a randomized controlled study.A total of 124 patients with swallowing disorders after ischemic stroke admitted to Henan Provincial People’s Hospital from January 2021 to June 2023 were selected.And they were divided into control group(62 cases)and observation group(62 cases)using a random number table method.The control group was treated by routine swallowing training combined with low-frequency pulse therapy,while the observation group was treated by low-frequency pulse therapy combined with CTAR.The swallowing function,oropharyngeal morphology,quality of life,and incidence of complications were compared between the two groups.Results After treatment,the weighted score of the water swallow test and standardized swallowing assessment score in the two groups were lower than those before treatment,moreover,these scores in the observation group were lower than those in the control group(P<0.05).After treatment,the post-palatal distance and retrolingual distance of the two groups were longer than those before treatment,the soft palate length of the two groups were shorter than those before treatment(P<0.05).After treatment,the post-palatal distance and retrolingual distance of the observation group were longer than those of the control group,and the soft palate length of the observation group was shorter than that of the control group(P<0.05).After treatment,the scores of quality of life and swallowing symptoms in the two groups were higher than those before treatment,and the scores of quality of life and swallowing symptoms in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of complications between the the observation group(0.00%,0/62)and the control group(3.23%,2/62),P>0.05.Conclusions Low-frequency pulse therapy combined with CTAR has an ideal effect on patients with swallowing disorders after ischemic stroke,which can effectively improve swallowing function,correct oropharyngeal morphology,and improve the quality of life of patients.