吞咽训练对颈前路减压融合术后吞咽困难患者的影响

Huan-Chieh Chen, Chang-jiang You, Yan Zhao
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引用次数: 0

摘要

目的探讨吞咽功能训练对颈前路减压融合术后吞咽困难患者的治疗效果。方法选取2014年1月~ 2018年1月收治的颈椎前路减压融合合并吞咽困难患者119例,采用随机数字表法分为干预组(59例)和对照组(60例)。对照组患者给予常规医院护理和健康教育,干预组患者给予6个月的吞咽功能训练,采用吞咽水测试和md . d . anderson吞咽困难量表(MDADI)评估吞咽功能和生活质量,并比较两组患者的差异。结果两组患者吞咽功能及生活质量差异无统计学意义(P> 0.05)。干预后,干预组的吞水测验得分为2.00(1.00,3.00),对照组的吞水测验得分为3.00(2.00,4.00),差异有统计学意义(Z值为3.205,P < 0.01)。干预后,干预组MDADI及一般、情绪、社会、生理功能维度总分分别为(69.91±10.59)、(3.37±0.63)、(21.37±2.97)、(17.91±2.14)、(27.26±4.19)分,对照组为(64.61±9.78)、(2.96±0.66)、(19.69±3.03)、(16.48±4.41)分,差异有统计学意义(t值为2.257 ~ 3.714,均P < 0.05)。结论吞咽功能训练可提高患者口腔、舌部、颊部、下颌骨及咽部肌肉的活动范围和力量,有助于改善患者的吞咽困难,提高患者的生活质量。关键词:护理;吞咽困难;椎间融合;颈椎
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of swallowing training on dysphagia patients after anterior cervical decompression and interbody fusion
Objective To explore the effect of swallowing function training on dysphagia patients after anterior cervical decompression and interbody fusion. Methods From January 2014 to January 2018, 119 patients with anterior cervical decompression and interbody fusion and difficulty in swallowing were divided into intervention group (59 cases) and control group (60 cases) by random digits table method. Patients in the control group were given routine hospital nursing and health education, while patients in the intervention group were given swallowing function training for 6 months, and swallowing function and quality of life were evaluated by Water Swallow Test and M.D.Anderson Dysphagia Inventory(MDADI) and compared between the two groups. Results There was no significant difference in swallowing function and quality of life between the two groups(P> 0.05). After intervention, Water Swallow Test score was 2.00 (1.00, 3.00) in the intervention group, and 3.00 (2.00, 4.00) in the control group, the difference was statistically significant (Z value was 3.205, P < 0.01). After intervention, the total score of MDADI and general, emotional, social and physiological functions dimensions was (69.91 ± 10.59), (3.37 ± 0.63), (21.37 ± 2.97), (17.91 ± 2.14), (27.26 ± 4.19) in the intervention group, and (64.61 ± 9.78), (2.96 ± 0.66), (19.69 ± 3.03), (16.48 ± 4.41) in the control group, the difference was statistically significant (t value was 2.257-3.714, all P < 0.05). Conclusions Swallowing function training can improve the range and strength of patients' oral, tongue, cheek, mandible and pharynx and larynx muscles, and help improve patients' dysphagia and quality of life. Key words: Nursing care; Dysphagia; Intervertebral fusion; Cervical vertebra
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