脑卒中后失足症的危险因素和吞功能训练的疗效评估
Shengli Xiong1, Shaochun Huang2, Guangjun Tian1
1Department of Neurology, The First People's Hospital of Lianyungang Guannan Campus, East of Taizhou North Road, North of Xingang Avenue, Guannan County, Lianyungang, Jiangsu Province, 222500, China.
概括
多种模式的吞训练有效地改善了脑卒中患者的吞功能. 确定的主要风险因素包括年龄和NIHSS得分,干预后出现显著改善.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 语音语言病理学 语言病理学
背景情况:
- 脑卒中是获得性消化不良的主要原因.
- 缺食症显著影响患者的生活质量,并增加吸收风险.
- 确定独立的风险因素对于有针对性的干预至关重要.
研究的目的:
- 为了确定中风后食障碍的独立风险因素.
- 为了评估标准化的多式模式吞功能培训计划的有效性.
主要方法:
- 分析了300名中风患者 (142名患有失消症) 的队列.
- 使用视频光镜吞研究 (VFSS) 和水吞测试 (WST).
- 多模式训练包括神经肌肉电刺激,舌头阻力和4周的冷刺激.
主要成果:
- 功能障碍的独立风险因素包括VFSS得分,UES开放性,PCR,年龄,肌肉强度≤3,NIHSS≥10.
- 该培训计划实现了92.25%的有效率,显著提高了SSA和WST分数.
- 报告显示,患者的服从度高 (87.32%) 和满意度高 (92.96%),不良反应最小.
结论:
- 标准化的多式吞训练显示了改善中风后消化不良的初步有效性.
- 需要进一步的大规模随机对照试验来证实研究结果,因为研究设计的局限性.
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