| 杨婷,孙明磊,段学燕.口腔神经肌肉训练法对社区老年衰弱患者吞咽障碍功能康复的效果[J].中国康复,2022,37(4):214-218 |
| 口腔神经肌肉训练法对社区老年衰弱患者吞咽障碍功能康复的效果 |
| Effect of oral neuromuscular training on rehabilitation of swallowing function in elderly patients with debilitation in community |
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| DOI： |
| 中文关键词: 口腔神经肌肉训练 社区老年人 衰弱 吞咽障碍 吞咽功能康复 |
| 英文关键词: Oral neuromuscular training Community-dwelling elders Frailty Dysphagia Swallowing function rehabilitation |
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| 中文摘要: |
| 目的：探讨口腔神经肌肉训练法对社区老年衰弱患者吞咽功能康复的效果。方法：将116例衰弱合并吞咽障碍的社区老年患者，按照随机数字表法分为观察组和对照组各58例，观察组采用口腔神经肌肉训练法，对照组采用常规吞咽功能康复训练法，干预6个月后对2组患者吞咽功能、营养状况、衰弱状态和生活质量进行比较。结果：干预6个月后，组间比较结果显示：观察组患者吞咽功能障碍评分（VGF）评分显著高于对照组（P<0.01）；营养状况改善情况高于对照组（P<0.05）；且Fried衰弱评分和吞咽障碍特异性生活质量量表(SWAL-QOL)总分以及各维度评分均显著高于对照组（P<0.01）。组内比较结果显示：观察组患者干预后VGF评分显著高于干预前（P<0.01），观察组患者营养状况、Fried衰弱评分和SWAL-QOL总分以及各维度评分均高于干预前（P<0.05），对照组患者除了心理负担、症状频率、食物选择维度无差异外，SWAL-QOL总分以及其他维度评分高于干预前（P<0.05）。结论：口腔神经肌肉训练法能有效促进社区老年衰弱患者吞咽功能的康复，改善营养不良状况，延缓衰弱状态，提高其生活质量。 |
| 英文摘要: |
| Objective: To investigate the effect of oral neuromuscular training on rehabilitation of swallowing function in elderly patients with debilitation in community. Methods： Totally, 116 elderly patients with frailty and dysphagia were randomly divided into experimental group and control group (n=58 in each group). The experimental group was treated with oral neuromuscular training, while the control group received routine swallowing function rehabilitation training. After 6 months of intervention, the swallowing function, nutritional status, debilitating state and quality of life of the two groups were compared. Results： After 6 months of intervention, the VGF score of the experimental group was significantly higher than that of the control group (P<0.01). Nutritional improvement was more satisfactory in the experimental group than that in the control group (P<0.05). In addition, Fried fission score, total score of SWAL-QOL and scores of each dimension were significantly higher in the experimental group than those in the control group (P<0.01). The results of intra-group comparison showed the VGF score of patients in the experimental group after intervention was significantly higher than that before intervention (P<0.01). The nutritional status, Fried weakness score, total score of SWAL-QOL and scores of all dimensions in the experimental group were higher than those before intervention (P<0.05), while there were no differences in the psychological burden, symptom frequency and food choice dimension in the control group. The total score of SWAL-QOL and other dimensions in the control group after intervention were higher than those before intervention (P<0.05). Conclusion： Oral neuromuscular training can effectively promote the rehabilitation of swallowing function, improve malnutrition, delay the state of weakness and improve the quality of life of elderly patients in community. |
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