核心肌群及徒手呼吸功能训练对脑卒中后吞咽障碍的效果.pdf

中国康复理论与实践2017年3月第23卷第3期 ChinJRehabilTheoryPract,Mar.,2017,Vol.23,No.3 - 326 - DOI: 10.3969/j.issn. 1006-9771.2017.03.017 ·临床研究 · 核心肌群及徒手呼吸功能训练对脑卒中后吞咽障碍的效果⓪ 贾慧敏，葛宣宣，赵庆贺 [摘要] 目的 探讨早期核心肌群及徒手呼吸功能训练对脑卒中后吞咽障碍患者的影响。方法 选取2015 年6 月至2016 年1月 脑卒中后吞咽障碍患者60 例，随机分为对照组(n=30)和观察组(n=30) 。两组均予常规吞咽康复、电刺激及传统呼吸功能训练，观 察组同时给予核心肌群和徒手呼吸功能训练，共4 周。治疗前后采用标准吞咽功能评定(SSA)、用力肺活量(FVC)、每分钟最大通 气量(MVV)、最长呼气时间进行评定。结果 治疗后，两组各项指标均有显著改善(P0.001) ，观察组较对照组改善更显著(P 0.001) 。结论 早期采用核心肌群及徒手呼吸功能训练能更好改善脑卒中后吞咽障碍患者的吞咽和呼吸功能。 [关键词] 脑卒中；吞咽障碍；核心肌群训练；徒手呼吸功能训练 Effects of Early Core Muscles and Manual Respiratory Function Training on Dysphagia after Stroke JIA Hui-min, GE Xuan-xuan, ZHAO Qing-he Department of Rehabilitation, Taian City Central Hospital, Taian, Shandong 271000, China Correspondence to JIA Hui-min. E-mail: jiahuimin2008.ok@163.com Abstract: Objective To investigate the effects of early core muscles and manual respiratory function training on stroke patients with dysphagia. Methods From June, 2015 to January, 2016, 60 stroke patients with dysphagia were divided equally into control group and obser- vation group randomly. Both groups accepted routine swallowing function training, electrical stimulation and respiratory function training, while the observation group accepted core muscles training and manual respiratory function training, for four weeks. They were evaluated with Standardized Swallowing Assessment (SSA), forced vital capacity (FVC), maximum ventilatory volume (MVV) and the maximum ex- piratory time before and after treatment. Results All the indices improved in both groups after treatment (P0.001), and improved more in the observation group than in the control group (P0.001). Conclusion Core muscles and manual respiratory function training at early stage can obviously improve swallowing and resp