摘要
目的:观察经皮电刺激联合球囊扩张术对颅脑损伤后吞咽障碍患者的康复效果。方法:选择荆州市第二人民医院神经疾病诊疗中心2017年1月-2019年4月住院治疗的94例颅脑损伤后吞咽障碍患者作为研究对象,根据随机数字表法将其分为两组,每组47例。对照组予以常规康复训练,观察组在对照组基础上予以经皮电刺激联合球囊扩张术干预,两组均干预3周。采用洼田饮水试验(WST)法、标准吞咽功能评定量表(SSA)及吞咽障碍特异性生活质量量表(SWAL-QOL)评估患者吞咽功能及生活质量。采用X线透视法检测两组干预前后舌骨上移和前移、甲状软骨上移和前移距离。结果:两组干预前WST、SSA及SWAL-QOL评分比较差异均无统计学意义(P>0.05);两组干预后WST、SSA评分均较干预前明显降低(P<0.05),而SWAL-QOL评分均较干预前升高(P<0.05),且观察组WST、SSA评分低于对照组,SWAL-QOL评分高于对照组,差异有统计学意义(P<0.05)。两组干预前舌骨喉复合体动度比较差异无统计学意义(P>0.05);对照组干预后舌骨上移、甲状软骨上移及前移距离与干预前比较差异均无统计学意义(P>0.05),舌骨前移距离较干预前明显增大,差异有统计学意义(P<0.05)。观察组干预后甲状软骨上移及前移距离与干预前比较差异均无统计学意义(P>0.05),舌骨上移及前移距离均较干预前明显增大,差异有统计学意义(P<0.05)。观察组干预后舌骨上移及前移距离均明显大于对照组,差异有统计学意义(P<0.05)。结论:经皮电刺激联合球囊扩张术可明显改善颅脑损伤后吞咽障碍患者的吞咽功能和舌骨喉复合体动度,并且有效提高患者生活质量。
Objective:To observe the rehabilitation effect of percutaneous electrical stimulation combined with balloon dilation on patients with dysphagia after craniocerebral injury.Method:A total of 94 patients with dysphagia after craniocerebral injury who were hospitalized in the neurological disease diagnosis and treatment center of The Second People’s Hospital of Jingzhou from January 2017 and April 2019 were selected as the research subjects.They were divided into two groups according to random number table method,with 47 patients in each group.The control group received routine rehabilitation training,and the observation group received percutaneous electrical stimulation combined with balloon dilation intervention on the basis of the control group.Both groups were treated for 3 weeks.The swallowing function and quality of life of the patients were assessed by WST,SSA and SWAL-QOL.The hyoid bone upward and forward distance,thyroid cartilage upward and forward distance of the two groups before and after intervention were detected by X-ray fluoroscopy.Result:There were no significant differences in WST,SSA and SWAL-QOL scores between two groups before intervention (P>0.05).After intervention,the WST and SSA scores of two groups were significantly decreased compared with before intervention (P<0.05),while the SWAL-QOL scores were significantly increased compared with before intervention (P<0.05),and WST and SSA scores in the observation group were lower than those in the control group,while SWAL-QOL score was higher than that in the control group,the differences were statistically significant (P<0.05).There were no significant differences in motility of hyoid bone laryngeal complex between the two groups before intervention (P>0.05).There were no statistically significant differences in the hyoid bone upward,thyroid cartilage upward and forward distance after intervention compared with before treatment in the control group (P>0.05),but the hyoid bone forward distance was significantly increased compared with before in
作者
张怒文
张杏容
倪莉
任倩
ZHANG Nuwen;ZHANG Xingrong;NI Li;REN Qian(The Second People’s Hospital of Jingzhou,Jingzhou 434000,China;不详)
出处
《中外医学研究》
2021年第27期17-20,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
颅脑损伤
吞咽障碍
经皮电刺激
球囊扩张术
Craniocerebral injury
Dysphagia
Percutaneous electrical stimulation
Balloon dilation
