Analysis on the improvement of dysphagia in stroke patients treated with swallowing function therapeutic instrument_West China Medical Journal

Authors：

HAN Desheng ^1,2 , MA Yue ³ , LUO Zhenjie ¹ , WANG Qian ² ,  HE Xiaohong ²

1. Medical College of Qinghai University, Xining, Qinghai 810001, P. R. China;
2. Department of Rehabilitation Medicine, Qinghai University Affiliated Hospital, Xining, Qinghai 810001, P. R. China;
3. Department of Emergency Medicine, Qinghai University Affiliated Hospital, Xining, Qinghai 810001, P. R. China;

Corresponding author：

HE Xiaohong, Email: hexiaohong3@163.com

Keywords：

Stroke; dysphagia; swallowing function therapeutic instrument; improvement analysis

DOI：

10.7507/1002-0179.202104244

Video：

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Objective To analyze the application value of swallowing function therapeutic instrument in dysphagia after stroke. Methods Stroke patients with dysphagia treated in the Department of Rehabilitation Medicine of Qinghai University Affiliated Hospital between July 2018 and April 2020 were selected. The patients were randomly divided into experimental group and control group. The control group was treated with comprehensive rehabilitation treatment, and the experimental group was treated with comprehensive rehabilitation treatment and swallowing function therapeutic instrument. The improvement of dysphagia and the changes of clinical indexes were observed in the two groups. Results A total of 100 patients were included, with 50 patients in each group. Before the intervention, there was no significant difference between the two groups in Standardized Swallowing Assessment (SSA), video fluoroscopy swallowing study (VFSS), ultrasonic exercise amplitude and duration (P>0.05). After 4 weeks of intervention, the SSA score, VFSS score, ultrasonic exercise amplitude and duration of the two groups were improved compared with those before intervention (P<0.05), and the experimental group was better than the control group (P<0.05). The improvement of dysphagia between the two groups was statistically significant (Z=−2.452, P=0.014). The total effective rate of dysphagia improvement in the experimental group (92.00%) was higher than that in the control group (82.00%), but there was no significant difference between the two groups (χ²=2.210, P=0.137). Conclusion The application of swallowing function therapeutic instrument in the adjuvant treatment of dysphagia after stroke is helpful to improve the clinical symptoms of patients and obtain ideal therapeutic effect, which is worth popularizing.

Citation： HAN Desheng, MA Yue, LUO Zhenjie, WANG Qian, HE Xiaohong. Analysis on the improvement of dysphagia in stroke patients treated with swallowing function therapeutic instrument. West China Medical Journal, 2022, 37(2): 214-217. doi: 10.7507/1002-0179.202104244 Copy

1.	龚林燕, 张郁澜, 宋玲, 等. 综合康复疗法及神经康复治疗仪改善脑卒中吞咽障碍的观察. 中国老年保健医学, 2017, 15(2): 16-17.
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8.	张乔, 郭艳侠. 中西结合治疗脑卒中吞咽功能障碍临床观察. 中国中医药现代远程教育, 2019, 17(12): 98-100.
9.	伍燕. 脑卒中吞咽功能障碍患者的康复护理干预. 内蒙古医学杂志, 2019, 51(10): 1254-1256.
10.	李灵浙, 宋丰军, 方君辉, 等. 整体观念取穴法结合吞咽治疗仪治疗脑卒中后吞咽功能障碍疗效观察. 新中医, 2018, 50(5): 165-168.
11.	谢玉梅, 朱敏林, 伍志媛. 吞咽治疗仪对急性脑梗死后不同阶段吞咽障碍的疗效分析. 中国医药科学, 2018, 8(10): 184-186.
12.	李冰, 党庆浩, 周光. 早期 VitalStim 治疗仪联合吞咽康复训练对脑梗死后吞咽障碍康复预后的影响. 中国康复, 2020, 35(8): 400-403.
13.	贾庆双. 吞咽言语治疗仪联合多种康复治疗脑卒中吞咽障碍的预后分析. 中国医药指南, 2020, 18(9): 154-155.
14.	邓小锋. Vitalstim 治疗仪与吞咽康复训练联合应用对卒中后吞咽功能障碍的疗效观察. 中国民康医学, 2019, 31(22): 7-8, 11.
15.	袁祖琴. 吞咽治疗仪治疗卒中后吞咽功能障碍的疗效观察. 解放军预防医学杂志, 2018, 36(10): 1333-1336.

1. 龚林燕, 张郁澜, 宋玲, 等. 综合康复疗法及神经康复治疗仪改善脑卒中吞咽障碍的观察. 中国老年保健医学, 2017, 15(2): 16-17.
2. 王亚东, 张涛. 吞咽功能训练对脑卒中患者吞咽功能障碍的疗效分析. 神经损伤与功能重建, 2019, 14(5): 263-265.
3. 傅娜. 早期应用吞咽治疗仪治疗脑卒中吞咽障碍的疗效观察与护理. 护士进修杂志, 2020, 35(9): 842-843.
4. 夏春, 盛飞, 苌玲, 等. 吞咽康复训练对老年脑卒中吞咽功能障碍患者生活质量的改善效果. 中国社区医师, 2020, 36(2): 135-136, 138.
5. 赵赫秋. 咽功能治疗仪对脑卒中吞咽障碍恢复的护理效果观察. 中国医药指南, 2019, 17(22): 249-250.
6. 中华医学会. 临床诊疗指南: 神经病学分册. 北京: 人民卫生出版社, 2006: 1-16.
7. 陈天虹, 余玲萍, 朱沛霓, 等. 强化康复训练对脑卒中后吞咽障碍患者吞咽功能及营养状况的改善作用. 中国现代医生, 2020, 58(10): 118-121.
8. 张乔, 郭艳侠. 中西结合治疗脑卒中吞咽功能障碍临床观察. 中国中医药现代远程教育, 2019, 17(12): 98-100.
9. 伍燕. 脑卒中吞咽功能障碍患者的康复护理干预. 内蒙古医学杂志, 2019, 51(10): 1254-1256.
10. 李灵浙, 宋丰军, 方君辉, 等. 整体观念取穴法结合吞咽治疗仪治疗脑卒中后吞咽功能障碍疗效观察. 新中医, 2018, 50(5): 165-168.
11. 谢玉梅, 朱敏林, 伍志媛. 吞咽治疗仪对急性脑梗死后不同阶段吞咽障碍的疗效分析. 中国医药科学, 2018, 8(10): 184-186.
12. 李冰, 党庆浩, 周光. 早期 VitalStim 治疗仪联合吞咽康复训练对脑梗死后吞咽障碍康复预后的影响. 中国康复, 2020, 35(8): 400-403.
13. 贾庆双. 吞咽言语治疗仪联合多种康复治疗脑卒中吞咽障碍的预后分析. 中国医药指南, 2020, 18(9): 154-155.
14. 邓小锋. Vitalstim 治疗仪与吞咽康复训练联合应用对卒中后吞咽功能障碍的疗效观察. 中国民康医学, 2019, 31(22): 7-8, 11.
15. 袁祖琴. 吞咽治疗仪治疗卒中后吞咽功能障碍的疗效观察. 解放军预防医学杂志, 2018, 36(10): 1333-1336.

West China Medical Journal

Analysis on the improvement of dysphagia in stroke patients treated with swallowing function therapeutic instrument

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