六字诀对脑梗死后吞咽障碍患者的影响

Effect of Six-word Formula on patients with dysphagia after cerebral infarction

目的探讨六字诀对脑梗死后吞咽障碍患者的影响。方法选取2023年8—12月在徐州医科大学附属沭阳医院神经内科和康复中医疼痛科住院的脑梗死后吞咽障碍患者60例,将其按照随机数表法分为对照组和观察组,每组各30例。对照组给予常规治疗,观察组在对照组基础上加以六字诀训练,共干预2周。比较两组洼田饮水试验评分、临床疗效、吞咽困难评价量表评分、血红蛋白(HGB)和白蛋白(ALB)指标、吞咽生存质量量表评分以及不良反应发生情况。结果干预后观察组临床疗效、吞咽困难评价量表评分、营养指标(HGB、ALB)、吞咽生存质量量表评分明显高于对照组,差异有统计学意义(P<0.05)。观察组洼田饮水试验评分、相关并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论六字诀可以有效改善脑梗死后吞咽障碍患者的吞咽功能、降低相关并发症的发生率,提高其生活质量。

Objective To explore the effect of Six-word Formula on patients with dysphagia after cerebral infarction.Methods A total of 60 patients with dysphagia after cerebral infarction who were hospitalized in the Department of Neurology and Department of Rehabilitation Traditional Chinese Medicine Pain,Affiliated Shuyang Hospital of Xuzhou Medical University from August to December 2023 were selected and divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received conventional treatment,and the observation group received Six-word Formula training on the basis of the control group.The intervention lasted for 2 weeks.The scores,clinical efficacy,dysphagia scores,hemoglobin(HGB)and albumin(ALB)indexes,swallowing-quality of life scores and the incidence of adverse reactions were compared between the two groups.Results After intervention,the clinical efficacy,dysphagia score,nutritional indicators(HGB,ALB),and swallowing-quality of life score of the observation group were significantly higher than those of the control group,with statistically significant difference(P<0.05).The observation group had significantly lower water consumption scores and incidence of related complications compared to the control group,with statistically significant difference(P<0.05).Conclusion Six-word Formula can effectively improve the swallowing function of patients with dysphagia after cerebral infarction,reduce the incidence of related complications and improve their quality of life.