舌压抗阻反馈训练联合神经肌肉刺激仪治疗脑卒中所致吞咽功能障碍的可行性研究

The Feasibility Study of Tongue Pressure Resistance Feedback Training Combined with Neuromuscular Stimulator in the Treatment of Dysphagia Caused by Stroke

目的 探究舌压抗阻反馈训练联合神经肌肉刺激仪在脑卒中所致吞咽功能障碍患者中的应用,探究其临床干预效果。方法 选择2021年6月-2022年6月来本院治疗脑卒中所致吞咽功能障碍患者100例为研究对象,采取随机数字表法分为对照组和观察组各50例,对照组采取脑卒中吞咽功能障碍的常规吞咽障碍训练,观察组采取舌压抗阻反馈训练联合神经肌肉刺激仪治疗,采用吞咽功能评定量表(standardized swallowing assessment,SSA)、功能性经口摄食量表(functional oral intake scale,FOIS)以及改良Barthel指数量表评价患者的吞咽障碍及日常生活能力。结果 治疗前,两组患者SSA评分比较差异无统计学意义(P>0.05),治疗后,观察组患者SSA评分低于对照组(P<0.05);治疗前,两组患者FOIS评分比较差异无统计学意义(P>0.05),治疗后,观察组患者FOIS评分高于对照组(P<0.05);治疗前,两组患者改良Barthel指数比较差异无统计学意义(P>0.05),治疗后,观察组患者改良Barthel指数高于对照组(P<0.05)。结论 对脑卒中吞咽功能障碍患者采取舌压抗阻反馈训练联合神经肌肉刺激仪治疗后发现能够改善患者的吞咽功能障碍促进患者吞咽功能恢复从而恢复患者日常生活,具有临床应用价值。

Objective To explore the effect of tongue pressure impedance feedback training combined with neuromuscular stimulation instrument in patients with dysphagia caused by stroke.Methods A total of 100 patients with dysphagia caused by stroke were selected from the June 2021 to June 2022.They were randomly divided into control group(n=50)and observation group(N=50),the control group was treated with routine deglutition training of deglutition dysfunction after stroke,and the observation group was treated with tongue pressure resistance feedback training combined with neuromuscular stimulator,standardized swallowing assessment(SSA),functional oral intake scale(FOIS)and modified Barthel index(BI)were used to evaluate the dysphagia and daily living ability of the patients.Results Before treatment,there was no significant difference in SSA scores between the two groups(P>0.05).After treatment,the SSA scores in the observation group were lower than those in the control group(P<0.05),there was no significant difference in FOIS score between the two groups(P>0.05).After treatment,the FOIS score in the Observation Group was higher than that in the control group(P<0.05),there was no significant difference in modified Barthel index between the two groups(P>0.05).After treatment,the modified Barthel index in the observation group was higher than that in the control group(P<0.05)Conclusion It was found that the tongue pressure resistance feedback training combined with neuromuscular stimulator could improve the deglutition function of patients with stroke and promote the recovery of deglutition function so as to restore the patients&#039;daily life,it has clinical application value.