下颌收拢抗阻力运动在老年脑梗死后吞咽障碍者中的应用效果

发布时间：2018-12-28 21:06

【摘要】：目的评价下颌收拢抗阻力运动(CTAR)对老年脑梗死后吞咽障碍患者的治疗效果和心理状态的影响。方法应用随机数字表法将90例老年脑梗死后吞咽障碍者分成CTAR组、Shaker组和对照组。实验前3组患者通过吞咽障碍分级评价和抑郁自评量表(SDS)评价后,对各组患者均进行神经内科常规治疗,其中CTAR组在常规治疗基础上,结合CTAR治疗,Shaker组结合Shaker运动训练。并分别经过2、4、6 w的治疗和康复后再次评价吞咽功能。同时,经康复训练6 w后再次进行SDS评定。结果治疗前各组老年患者吞咽障碍的程度和SDS得分无显著差异(P0.05),治疗后各组患者吞咽障碍均有不同程度改善,其中2~4 w患者吞咽功能恢复最为明显。CTAR组疗效显著优于Shaker组和对照组(P0.05)。治疗6 w后CTAR组SDS评分明显低于Shaker组和对照组(P0.05)。结论对老年脑梗死后吞咽功能障碍者在常规治疗的基础上结合CTAR,可以有效提高其吞咽功能,减轻心理负担、改善抑郁状态。
[Abstract]:Objective to evaluate the effect of (CTAR) on the treatment and psychological status of senile patients with dysphagia after cerebral infarction. Methods 90 elderly patients with dysphagia after cerebral infarction were randomly divided into CTAR group, Shaker group and control group. The patients in the first three groups were treated with routine neurology after the evaluation of deglutition disorder grade and self-rating depression scale (SDS). The patients in CTAR group were treated with CTAR on the basis of routine therapy, and those in Shaker group were treated with Shaker exercise training. The swallowing function was evaluated again after 6 weeks of treatment and rehabilitation. At the same time, the SDS was evaluated again after 6 weeks of rehabilitation training. Results before treatment, there was no significant difference in the degree of dysphagia and SDS score in the elderly patients in each group (P0.05). The recovery of swallowing function was the most obvious in patients with 2 weeks and 4 weeks. The curative effect of CTAR group was significantly better than that of Shaker group and control group (P0.05). After 6 weeks of treatment, SDS score in CTAR group was significantly lower than that in Shaker group and control group (P0.05). Conclusion on the basis of routine treatment combined with CTAR, in elderly patients with dysphagia after cerebral infarction can effectively improve their swallowing function lighten their psychological burden and improve their depressive state.
【作者单位】：南阳医学高等专科学校;
【分类号】：R743.33

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