引用本文: | 张梦菲,叶鹏瑛,彭志勇,喻勇.体外膈肌起搏器联合吞咽功能训练对脑卒中后吞咽障碍的作用[J].中国临床新医学,0,():-. |
| zhangmengfei,yepengying,pengzhiyong,yuyong.体外膈肌起搏器联合吞咽功能训练对脑卒中后吞咽障碍的作用[J].中国临床新医学,0,():-. |
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摘要: |
目的 观察体外膈肌起搏器(External diaphragm pacemaker,EDP)联合吞咽功能训练对脑卒中后吞咽障碍的作用。方法 将2017-04~2020-05该院80例脑卒中吞咽障碍患者按随机数字表法分观察组和对照组,每组40例,因各种原因中途退出4例,最终纳入统计为76例,对照组39例,观察组37例。对照组给予吞咽功能基础训练,观察组在吞咽功能基础训练的基础上联合应用EDP进行治疗。治疗前与治疗4周后,使用标准吞咽功能评定量表(Standardized Swallowing Assessment,SSA)和中文版吞咽生存质量量表(Swallowing Quality of Life Questionnaire,SWAL-QOL)评估两组患者吞咽功能和生存质量;并比较两组观察期肺炎的发生率。结果 治疗4周后,两组患者的SSA评分较治疗前降低(P<0.01),SWAL-QOL评分较治疗前提高(P<0.01),且观察组优于对照组(P<0.05);观察期间观察组肺炎发生率为8.1%,低于对照组33.3%(P<0.05)。结论 体外膈肌起搏器联合吞咽功能基础训练可明显改善脑卒中患者吞咽功能、降低肺炎发生率,改善生存质量,且效果优于单纯进行吞咽功能基础训练,值得推广。 |
关键词: 体外膈肌起搏器 脑卒中 吞咽障碍 生存质量 |
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Effect of external diaphragm pacemaker combined with swallowing function training on dysphagia after strok |
zhangmengfei,yepengying,pengzhiyong,yuyong
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The Third Affiliated Hospital of Sun Yat-Sen University YueDong Hospital
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Abstract: |
Objective To observe the effect of external diaphragm pacemaker (EDP) combined with swallowing function training on dysphagia after stroke. Methods 80 stroke patients with dysphagia were divided into observation group and control group by using random number table, 40 cases in each group.4 cases were dropped out for various reasons, and the final inclusion statistics were 76 cases, 39 cases in the control group and 37 cases in the observation group. The control group was given basic training of swallowing function,the observation group was treated with EDP on the basis of basic training of swallowing function . Before and after 4 weeks of treatment, patients in both groups were evaluated by Standardized Swallowing Assessment(SSA)and Chinese swallowing quality of life questionnaire (SWAL-QOL) to analyze their swallowing function and the quality of life;And compare the incidence of pneumonia during the period of observation. Results After 4 weeks of treatment, SSA score of patients in both groups was lower than before(P<0.01),while SWAL-QOL score was improved ( (P<0.01),and the observation group performed better than the control group (P<0.05);During the period of observation, the incidence of pneumonia in the observation group was 8.1 %, which was less than 33.3 % in the control group. Conclusion External diaphragm pacemaker combined with swallowing function training can noticeably improve the swallowing function, reduce the incidence of pneumonia in stroke patients, improve the quality of life, and its effect is better than the basic training of swallowing function. It is worth promoting. |
Key words: external diaphragm pacemaker stroke dysphagia quality of life |