蒋海燕 1汤秀云 1鞠婷婷 1胡啸龙 2刘盈 1阳庆军 1李艳平1
作者信息
- 1. 湘雅博爱康复医院康复治疗部,长沙 410100
- 2. 湖南农业大学环境与生态学院,长沙 410000
- 折叠
摘要
Abstract
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 ran-dom number table method,with 30 cases in each group.The control group was given conventional swallowing train-ing(ice stimulation,Mendelsohn maneuver)and supraglottic swallowing.The observation group was given conven-tional 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 perme-ation-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.Re-sults:Before treatment,there were no significant differences in the indexes of the two groups.After 4 weeks of treatment,the FOIS,MM ASA,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,MM ASA,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 con-trolled breathing mode can improve swallowing and breathing function after cerebellar infarction,swallowing and breathing coordination,improve feeding ability,and achieve effective and safe eating.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Key words
cerebellar infarction/swallowing function/control of breathing pattern/swallowing coordination training/respiratory-swallowing coordination分类
医药卫生
