肌内效贴结合镜像疗法对卒中后咽期吞咽障碍患者的疗效观察

目的:探索肌内效贴结合镜像神经元激活训练对卒中后咽期吞咽障碍患者的疗效观察。方法:将60例脑卒中后存在咽期吞咽障碍的患者随机分成3组各20例。每组均进行常规吞咽治疗30min,在常规治疗基础上,对照组另外接受肌内效贴扎治疗,在对照组基础上,观察1组另外接受观察静态食物图片人工音治疗,观察2组接受镜像观察动态吞咽视频声音治疗,每次训练20min,每天1次,每周5d,共持续4周。在治疗前、治疗后分别使用功能性经口摄食量表(FOIS)、洼田饮水实验(WST)、进食评估问卷调查(EAT-10)评估患者的吞咽功能,治疗后用WST分级结果进行总有效率比较。结果:治疗后3组患者FOIS评分较治疗前均提高(P<0.05),观察2组FOIS评分较对照组、观察1组提高(P<0.05)。治疗后3组WST分级、EAT-10评分均有降低(P<0.05),且观察2组较对照组、观察1组降低更明显(P<0.05)。总有效率比较,观察2组较对照组及观察1组有效率显著提高(P<0.05),观察1组与对照组比较有效率差异无统计学意义。结论:肌内效贴扎治疗的同时,予以镜像观察吞咽相关的动作视频及声音刺激,对脑卒中后咽期吞咽障碍患者有明显改善作用。

Curative effect of Kinesio Taping combined with mirror therapy for patients with pharyngeal dysphagia after stroke

Objective: To observe the therapeutic effect of Kinesio Taping combined with mirror therapy for patients with pharyngeal dysphagia after stroke. Methods: A total of 60 patients with pharyngeal dysphagia after stroke were randomly divided into three groups (n=20 each). Each group received routine swallowing therapy for 30 min. Each group was given the treatments as follows: control group, Kinesio Taping; observation group 1, Kinesio Taping and mirror observation of static picture artificial sound; observation group 2, Kinesio Taping and mirror observation of dynamic swallowing video sound. According to the random grouping, the training was given for 20 min, once a day, 5 days a week for 4 weeks. Before and after treatment, Functional Oral Intake Scale (FOIS), Kubota water-drinking test (WST) and Eating Assessment tool (EAT-10) were used to evaluate the swallowing function of patients. After treatment, the total effective rate was compared using the grading results of Kubota WST. Results: After treatment, the FOIS scores in the three groups were significantly higher than those before treatment (P<0.05), and those in the observation group 2 were significantly higher than those in the control group and observation group 1 (P<0.05). After treatment, the scores of depression drinking water experiment (WST) and EAT-10 were decreased in the three groups, and the decrease in observation group 2 was more obvious than that in control group and observation group 1 (P<0.05). There was no significant difference in effective rate between observation group 1 and control group. Conclusion: Kinesio Taping in combination with mirror observation of swallowing-related action video and sound stimulation, can significantly improve the swallowing disorder after stroke.