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吞咽器官功能训练在老年吞咽障碍患者吞咽功能改善中的应用 被引量:19

Effect of swallowing organ function training on swallowing function in elderly patients with dysphagia
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摘要 目的:探讨实施吞咽器官功能训练对老年吞咽功能障碍患者吞咽功能的改善效果。方法:采用便利抽样法,选取2018年6月—2019年6月北京协和医院老年病房的80例老年吞咽障碍患者作为研究对象,按照随机分组的方式将其分为观察组与对照组,每组各40例。对照组患者给予常规治疗措施,观察组患者在常规治疗的基础上给予为期8周的吞咽器官功能训练。比较两组患者干预前、干预4、8周后的标准吞咽功能评价量表(SSA)得分、洼田饮水试验(WST)结果。结果:干预后,观察组患者干预4、8周后的SSA得分低于对照组,两组得分比较差异均有统计学意义(P<0.05)。观察组患者干预8周后的WST疗效优于对照组,两组比较差异有统计学意义(P<0.05)。结论:吞咽器官功能训练对老年吞咽功能障碍患者具有良好的临床效果,可以提高患者生活质量,促进早日康复,值得在临床中应用推广。 Objective To explore the effect of swallowing organ function training on swallowing function in elderly patients with dysphagia.Methods By convenient sampling,a total of 80 elderly patients with dysphagia treated in the geriatric ward of Peking Union Medical College Hospital from June 2018 to June 2019 were selected as the research objects.The patients were randomly divided into observation group and control group,with 40 cases in each group.Patients in the control group were given routine treatment measures,while patients in the observation group were given 8 weeks of swallowing organ function training on the basis of routine treatment.The scores of Standardized Swallowing Assessment(SSA)and the results of Water Swallow Test(WST)of the two groups were compared before the intervention,4 weeks and 8 weeks after the intervention.Results After the intervention,the SSA scores of the observation group after 4 and 8 weeks of intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).After 8 weeks of intervention,the efficacy of WST in the observation group was significantly better than that in the control group,and there was statistical difference between the two groups(P<0.05).Conclusions Swallowing organ function training has good clinical effect in elderly patients with dysphagia.It can improve the quality of life of patients and promote early recovery,which is worthy of clinical application and promotion.
作者 李梦洁 朱宏伟 Li Mengjie;Zhu Hongwei(Department of Health Care,Peking Union Medical College Hospital,Beijing 100730,China)
出处 《中华现代护理杂志》 2020年第8期1064-1068,共5页 Chinese Journal of Modern Nursing
关键词 吞咽障碍 老年人 吞咽器官功能训练 Dysphagia Aged Swallowing organ function training
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