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.	龔林燕, 張郁瀾, 宋玲, 等. 綜合康復療法及神經康復治療儀改善腦卒中吞咽障礙的觀察. 中國老年保健醫學, 2017, 15(2): 16-17.
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8.	張喬, 郭艷俠. 中西結合治療腦卒中吞咽功能障礙臨床觀察. 中國中醫藥現代遠程教育, 2019, 17(12): 98-100.
9.	伍燕. 腦卒中吞咽功能障礙患者的康復護理干預. 內蒙古醫學雜志, 2019, 51(10): 1254-1256.
10.	李靈浙, 宋豐軍, 方君輝, 等. 整體觀念取穴法結合吞咽治療儀治療腦卒中后吞咽功能障礙療效觀察. 新中醫, 2018, 50(5): 165-168.
11.	謝玉梅, 朱敏林, 伍志媛. 吞咽治療儀對急性腦梗死后不同階段吞咽障礙的療效分析. 中國醫藥科學, 2018, 8(10): 184-186.
12.	李冰, 黨慶浩, 周光. 早期 VitalStim 治療儀聯合吞咽康復訓練對腦梗死后吞咽障礙康復預后的影響. 中國康復, 2020, 35(8): 400-403.
13.	賈慶雙. 吞咽言語治療儀聯合多種康復治療腦卒中吞咽障礙的預后分析. 中國醫藥指南, 2020, 18(9): 154-155.
14.	鄧小鋒. Vitalstim 治療儀與吞咽康復訓練聯合應用對卒中后吞咽功能障礙的療效觀察. 中國民康醫學, 2019, 31(22): 7-8, 11.
15.	袁祖琴. 吞咽治療儀治療卒中后吞咽功能障礙的療效觀察. 解放軍預防醫學雜志, 2018, 36(10): 1333-1336.

1. 龔林燕, 張郁瀾, 宋玲, 等. 綜合康復療法及神經康復治療儀改善腦卒中吞咽障礙的觀察. 中國老年保健醫學, 2017, 15(2): 16-17.
2. 王亞東, 張濤. 吞咽功能訓練對腦卒中患者吞咽功能障礙的療效分析. 神經損傷與功能重建, 2019, 14(5): 263-265.
3. 傅娜. 早期應用吞咽治療儀治療腦卒中吞咽障礙的療效觀察與護理. 護士進修雜志, 2020, 35(9): 842-843.
4. 夏春, 盛飛, 萇玲, 等. 吞咽康復訓練對老年腦卒中吞咽功能障礙患者生活質量的改善效果. 中國社區醫師, 2020, 36(2): 135-136, 138.
5. 趙赫秋. 咽功能治療儀對腦卒中吞咽障礙恢復的護理效果觀察. 中國醫藥指南, 2019, 17(22): 249-250.
6. 中華醫學會. 臨床診療指南: 神經病學分冊. 北京: 人民衛生出版社, 2006: 1-16.
7. 陳天虹, 余玲萍, 朱沛霓, 等. 強化康復訓練對腦卒中后吞咽障礙患者吞咽功能及營養狀況的改善作用. 中國現代醫生, 2020, 58(10): 118-121.
8. 張喬, 郭艷俠. 中西結合治療腦卒中吞咽功能障礙臨床觀察. 中國中醫藥現代遠程教育, 2019, 17(12): 98-100.
9. 伍燕. 腦卒中吞咽功能障礙患者的康復護理干預. 內蒙古醫學雜志, 2019, 51(10): 1254-1256.
10. 李靈浙, 宋豐軍, 方君輝, 等. 整體觀念取穴法結合吞咽治療儀治療腦卒中后吞咽功能障礙療效觀察. 新中醫, 2018, 50(5): 165-168.
11. 謝玉梅, 朱敏林, 伍志媛. 吞咽治療儀對急性腦梗死后不同階段吞咽障礙的療效分析. 中國醫藥科學, 2018, 8(10): 184-186.
12. 李冰, 黨慶浩, 周光. 早期 VitalStim 治療儀聯合吞咽康復訓練對腦梗死后吞咽障礙康復預后的影響. 中國康復, 2020, 35(8): 400-403.
13. 賈慶雙. 吞咽言語治療儀聯合多種康復治療腦卒中吞咽障礙的預后分析. 中國醫藥指南, 2020, 18(9): 154-155.
14. 鄧小鋒. Vitalstim 治療儀與吞咽康復訓練聯合應用對卒中后吞咽功能障礙的療效觀察. 中國民康醫學, 2019, 31(22): 7-8, 11.
15. 袁祖琴. 吞咽治療儀治療卒中后吞咽功能障礙的療效觀察. 解放軍預防醫學雜志, 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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