咽部力量结合舌肌训练治疗中风后吞咽障碍的临床疗效

Clinical Effect of Pharyngeal Strength Combined with Tongue Muscle Training for the Treatment of Dysphagia after Stroke

目的:观察咽部力量结合舌肌训练治疗中风后吞咽障碍的临床疗效。方法:选取2021年1月—2022年6月于首都医科大学附属北京康复医院治疗的106例脑卒中吞咽障碍病人,采用随机数字表法将病人分为对照组和观察组,各53例。对照组采用常规治疗、训练,观察组在对照组基础上联合咽部力量、舌肌训练。比较两组临床疗效、营养状况及经口摄食功能、吞咽功能和生存质量量表(SWAL-QOL)评分差异。结果:观察组总有效率高于对照组,差异有统计学意义(90.57%与77.36%,P<0.05)。训练1个月后,两组清蛋白、血红蛋白、经口摄食量表(FOIS)评分、SWAL-QOL评分均高于训练前,吞咽功能评定(SSA)评分低于训练前,且观察组优于对照组,差异均有统计学意义(P<0.05)。结论:咽部力量结合力量舌肌训练治疗中风后吞咽障碍有较好的临床疗效,可改善病人经口摄食功能、吞咽功能及生存质量。

Objective:To observe the clinical effect of pharyngeal strength combined with tongue muscle training for the treatment of dysphagia after stroke.Methods:One hundred and six stroke patients with dysphagia treated in Beijing Rehabilitation Hospital Affiliated to Capital Medical University from January 2021 to June 2022 were selected and divided into the control group and the observation group by random number table method,with 53 cases in each group.The patients of control group were treated with conventional treatment and training,and the patients of observation group were treated with pharyngeal strength and tongue muscle training on the basis of the control group.The clinical efficacy,nutritional status,oral feeding function,swallowing function and Swallowing Quality of Life(SWAL-QOL)scores between two groups were compared.Results:The total effective rate of the observation group was more than that of the control group,the difference was statistically significant(90.57%vs 77.36%,P<0.05).After 1 month of training,the scores of albumin,hemoglobin,Functional Oral Intake Scale(FOIS)scores and SWAL-QOL scores between two groups were more than those before training,and the scores of Standardized Swallowing Assessment(SSA)were less than those before training,and those in the observation group were better than those in the control group,with statistical significance(P<0.05).Conclusion:Pharyngeal strength combined with tongue muscle training for the treatment of swallowing disorder after stroke showed better clinical effects,which could improve the oral feeding function,swallowing function and quality of life.