| Objective: To study the effect of cognitive impairment on food intake and swallowing function after stroke. Methods: From September 2018 to December 2019, 60 patients with post-stroke cognitive impairment who were hospitalized in the Department of Neurology and Rehabilitation of our hospital were selected and divided into three groups according to the Montreal Cognitive Assessment (MOCA). According to the results of video fluoroscopy swallowing study (VFSS) and 24-h intake, the patients with dysphagia were screened and counted, and the incidence of dysphagia was compared among the three groups. At the same time, three groups of patients were given cognitive feeding training for 8 weeks. The 24-h intake, the score of VDS, the oral transit time (OTT) and the soft palate elevation time (SET) were used as the evaluation standard to compare the feeding swallowing function before and after the intervention. Results: Statistically, the incidence of eating-swallowing disorder was significantly different among the three groups (P<0.05), and the patients with severe cognitive impairment were more likely to have eating-swallowing disorder. After training, the 24-h intake, VDS score, OTT and SET of patients with moderate and severe cognitive impairment were significantly improved (P<0.05), and the 24-h intake and OTT of patients with mild cognitive impairment were also significantly improved (P<0.05). The 24-h intake, VDS score and OTT of patients with severe cognitive impairment before training were significantly lower than those of patients with mild to moderate cognitive impairment (P<0.05). The SET in the mild group was better than that in the moderate severe group. After training, the results of related indexes of feeding and swallowing function in the mild group were the best (P<0.05). As compared with the severe group, the indexes in the mild to moderate group were improved significantly, and the difference was statistically significant (P<0.05). Conclusion: The degree of cognitive impairment has a significant impact on the food intake swallowing function and rehabilitation treatment effect in patients with stroke. The more severe the cognitive impairment, the higher the incidence of feeding-swallowing disorder and the worse the feeding-swallowing function of patients. The milder the degree of cognitive impairment, the more obvious the improvement of feeding-swallowing function. |
