舌压抗阻训练联合吞咽功能训练对老年脑卒中后吞咽功能障碍患者摄食能力、吞咽功能的影响

Effects of tongue pressure resistance training combined with swallowing function training on feeding ability and swallowing function of elderly patients with post-stroke dysphagia

中文关键词: 老年  脑卒中  吞咽功能障碍  舌压抗阻训练  吞咽功能训练  摄食能力

英文关键词: elderly  stroke  dysphagia  tongue pressure resistance training  swallowing function training  feeding ability

中文摘要:

      目的 探讨老年脑卒中后吞咽功能障碍(PSD)患者应用吞咽功能训练联合舌压抗阻训练的效果.方法 选取2023年1月-2024年12月合肥市第二人民医院接受治疗的老年PSD患者70例,依据治疗方法的不同分为常规组(n=35,接受吞咽功能训练)和研究组(n=35,接受吞咽功能训练联合舌压抗阻训练).比较2组患者的疗效、摄食能力、吞咽功能及并发症发生率.结果 治疗后,研究组治疗总有效率高于对照组(94.29％vs 74.29％,P＜0.05);研究组实际进食比例、功能性经口摄食量表(FIOS)评分均高于常规组,自主进食时间、进食评估调查表(EAT-10)评分均低于常规组,差异均有统计学意义(P＜0.05);研究组曼恩吞咽能力评估量表(MASA)评分高于常规组(P＜0.05).治疗期间,研究组并发症总发生率低于常规组(2.86％vs 22.86％,P＜0.05).结论 吞咽功能训练联合舌压抗阻训练可显著提高老年PSD患者的治疗总有效率,改善其摄食能力和吞咽功能,增强舌肌力量.

英文摘要:

      Objective To explore the effects of tongue pressure resistance training combined with swallowing function training on feeding ability and swallowing function of elderly patients with post-stroke dysphagia(PSD).Methods 70 elderly PSD patients treated in Second People's Hospital of Hefei City from January 2023 to December 2024 were selected and divided into conventional group(n=35,receiving swallowing function training)and study group(n=35,receiving swallowing func-tion training combined with tongue pressure resistance training)according to different treatment methods.The therapeutic effi-cacy,feeding ability,swallowing function,and incidence of the complications of the two groups were compared.Results Af-ter treatment,the total effective rate of treatment in the study group was higher than that in the conventional group(94.29％vs 74.29％,P＜0.05);the proportion of actual feeding and score of the Functional Oral Intake Scale(FIOS)of the study group were higher than those of the conventional group,and the time of independent feeding and the score of Eating Assessment Ques-tionnaire(EAT-10)were shorter or lower than those of the conventional group(P＜0.05);the score of the Mann Assessment of Swallowing Ability(MASA)of the study group was higher than that of the conventional group(P＜0.05).The total inci-dence of the complications during treatment in the study group was lower than that in the conventional group(2.86％vs 22.86％,P＜0.05).Conclusion Swallowing function training combined with tongue pressure resistance training can signifi-cantly increase the total effective rate of treatment,improve the feeding ability and swallowing function,and enhance the strength of tongue muscles in elderly PSD patients.