| 蒋海燕,汤秀云,鞠婷婷,胡啸龙,刘盈,阳庆军,李艳平.控制呼吸模式下吞咽协调训练对小脑梗死后吞咽功能的影响[J].中国康复,2025,40(7):402-406 |
| 控制呼吸模式下吞咽协调训练对小脑梗死后吞咽功能的影响 |
| Effect of swallowing coordination training under controlled breathing mode on swallowing function after cerebellar infarction |
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| DOI：10.3870/zgkf.2025.07.004 |
| 中文关键词: 小脑梗死、吞咽功能、控制呼吸模式、吞咽协调训练、呼吸-吞咽协调 |
| 英文关键词: cerebellar infarction swallowing function control of breathing pattern swallowing coordination training respiratory-swallowing coordination |
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| 中文摘要: |
| 目的：研究控制呼吸模式下吞咽协调训练对小脑梗死后吞咽功能障碍的疗效。方法：选取在湘雅博爱康复医院治疗的60例小脑梗死后吞咽功能障碍患者，采用随机数字表法分为对照组和观察组各30例。对照组给予常规吞咽训练（冰刺激、门德尔松吞咽法）和声门上吞咽法训练。观察组给予常规吞咽训练和控制呼吸模式下吞咽协调训练。2组治疗均为1次/d，6d/周，持续4周。分别在治疗前、治疗4周后采用功能性经口摄食量表（FOIS）、改良曼恩吞咽能力评估量表（MMASA）、Rosenbek渗透-误吸量表（PAS)评定2组患者的吞咽功能，采用最长声时（MPT）评估发声功能，采用用力肺活量（FVC）、第1秒用力呼气容积（FEV1）、峰值呼气流速（PEF）评估呼吸功能。结果：治疗前，2组患者各项指标比较差异均无统计学意义；治疗4周后，2组FOIS、MMASA、PAS评分、MPT均高于治疗前（P<0.05），观察组FVC、FEV1、PEF均高于治疗前（P<0.05），且观察组FOIS、MMASA、PAS评分、MPT、FVC、FEV1、PEF均高于对照组（P<0.05）。结论：控制呼吸模式下吞咽协调训练能够有效改善小脑梗死后吞咽功能和呼吸功能，改善吞咽呼吸协调，提高进食能力，达到有效安全进食。 |
| 英文摘要: |
| Objective: To investigate the efficacy of swallowing coordination training in controlled breathing mode for swallowing function after cerebellar infarction. Methods: Totally, 60 patients with swallowing dysfunction after cerebellar infarction in our hospital were selected and divided into a control group and an observation group by random number table method, with 30 cases in each group. The control group was given conventional swallowing training (ice stimulation, Mendelsohn maneuver) and supraglottic swallowing. The observation group was given conventional swallowing training and swallowing coordination training in controlled breathing mode. Both groups received treatment once a day, 6 times a week, for 4 weeks. The swallowing function of the patients in the two groups was assessed by functional oral intake (FOIS), modified Mann swallowing ability (MMASA), and Rosenbek permeation-absorption scale (PAS) before and 4 weeks after treatment, respectively. The vocal function was assessed by maximum phonation time (MPT) at the longest sound. Forceful lung volume (FVC), forceful expiratory volume in one second (FEV1), and peak expiratory flow (PEF) were used to assess the changes in respiratory function. Results: Before treatment, there were no significant differences in the indexes of the two groups. After 4 weeks of treatment, the FOIS, MMASA, PAS and MPT in both groups were better than those before treatment (P<0.05). The FVC, FEV1, PEF in the observation group were better than those before treatment (P<0.05). Moreover, the results of the FOIS, MMASA, PAS, MPT, FVC, FEV1, and PEF in observation groups were better than those in the control group, with statistical significance (P<0.05). Conclusion: Swallowing coordination training in controlled breathing mode can improve swallowing and breathing function after cerebellar infarction, swallowing and breathing coordination, improve feeding ability, and achieve effective and safe eating. |
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