联合声乐训练法的肺康复治疗在卒中后吞咽障碍中的应用(1)
摘 要：目的 观察肺功能训练器结合声乐训练法的肺康复治疗对卒中后吞咽障碍的影响。方法 将2014年10月～2015年10月我院60例患者随机分为对照组和治疗组，每组30例，对照组给予常规吞咽功能训练和药物治疗，治疗组在对照组的基础上增加肺功能训练器治疗及声乐训练治疗，每组疗程为4周。治疗前后两组采用Rosenbek渗透-误吸分级量表和吞咽障碍评定标准进行评定并判断疗效。结果 治疗后， 治疗组较对照组吞咽功能有显著改善，两组间比较，差异有统计学意义(P<0.05)；治疗组比对照组评级较低，且Ⅰ级人数比对照组多，差异有统计学意义(P<0.05)；两组患者均较治疗前有显著改善，表现为等级分布均呈下降趋势，差异有统计学意义(P<0.05)，且治疗组较对照组评级较低的人员多，Ⅰ级、Ⅱ级的人数占该组的46.67%，差异有统计学意义(P<0.05)。结论 联合声乐训练法的的肺康复治疗可以改善脑卒中患者的呼吸功能、降低肺部感染率，提升其吞咽功能。
关键词：脑卒中；声乐训练法；肺康复；吞咽障碍；肺功能训练器
, 百拇医药
中图分类号：R743.3 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.23.033
文章编号：1006-1959(2018)23-0120-04
Abstract：Objective To observe the effect of pulmonary rehabilitation therapy combined with vocal music training on dysphagia after stroke.Methods 60 patients in our hospital from October 2014 to October 2015 were randomly divided into the control group and the treatment group， 30 patients in each group， the control group was given routine swallowing function training and drug treatment， the treatment group on the basis of the control group to increase the lung function of the trainer and vocal music training treatment， each group for 4 weeks.Before and after treatment， Rosenbek osmosis-aspiration scale and the evaluation criteria for dysphagia were used to evaluate the efficacy of the two groups.Results After treatment， swallowing function in the treatment group was significantly improved compared with that in the control group， and the difference between the two groups was statistically significant(P<0.05).The treatment group than the control group rating is low， and Ⅰ level more than the control group，the difference was statistically significant(P<0.05)；Two groups of patients was improved significantly， the performance of grade distribution of both a downward trend，the difference was statistically significant(P<0.05)，and the treatment group than the control group rated lower personnel is much， the number of levelsⅠ，Ⅱ accounted for 46.67% of the group，the difference was statistically significant(P<0.05).Conclusion pulmonary rehabilitation therapy combined with vocal music training can improve respiratory function，reduce pulmonary infection rate and enhance swallowing function of stroke patients.
, 百拇医药
Key words：Stroke；Method of vocal music training；Pulmonary rehabilitation；Dysphagia；Lung function trainer
腦卒中后吞咽困难及肺部感染均是急性脑卒中患者的常见并发症，吞咽困难导致患者的营养摄取困难，降低患者生活质量，肺部感染则与吞咽障碍等多种因素密切相关[1]。鉴于呼吸训练已在循环、内分泌、免疫、消化、泌尿和神经系统等非呼吸系统疾病得到的广泛应用[2]，通过肺康复的呼吸训练可有效提升个体日常生活能力，可用于改善和治疗吞咽障碍，避免肺部感染。目前的肺康复治疗计划除了呼吸控制和呼吸肌训练等常规手段外，肺功能训练的其他手段也得到了有效的应用。本研究将肺功能训练器和声乐训练结合来治疗脑卒中后口腔期吞咽启动困难患者，疗效显著，现报告如下。, http://www.100md.com(黄营湘)
关键词：脑卒中；声乐训练法；肺康复；吞咽障碍；肺功能训练器
, 百拇医药
中图分类号：R743.3 文献标识码：B DOI：10.3969/j.issn.1006-1959.2018.23.033
文章编号：1006-1959(2018)23-0120-04
Abstract：Objective To observe the effect of pulmonary rehabilitation therapy combined with vocal music training on dysphagia after stroke.Methods 60 patients in our hospital from October 2014 to October 2015 were randomly divided into the control group and the treatment group， 30 patients in each group， the control group was given routine swallowing function training and drug treatment， the treatment group on the basis of the control group to increase the lung function of the trainer and vocal music training treatment， each group for 4 weeks.Before and after treatment， Rosenbek osmosis-aspiration scale and the evaluation criteria for dysphagia were used to evaluate the efficacy of the two groups.Results After treatment， swallowing function in the treatment group was significantly improved compared with that in the control group， and the difference between the two groups was statistically significant(P<0.05).The treatment group than the control group rating is low， and Ⅰ level more than the control group，the difference was statistically significant(P<0.05)；Two groups of patients was improved significantly， the performance of grade distribution of both a downward trend，the difference was statistically significant(P<0.05)，and the treatment group than the control group rated lower personnel is much， the number of levelsⅠ，Ⅱ accounted for 46.67% of the group，the difference was statistically significant(P<0.05).Conclusion pulmonary rehabilitation therapy combined with vocal music training can improve respiratory function，reduce pulmonary infection rate and enhance swallowing function of stroke patients.
, 百拇医药
Key words：Stroke；Method of vocal music training；Pulmonary rehabilitation；Dysphagia；Lung function trainer
腦卒中后吞咽困难及肺部感染均是急性脑卒中患者的常见并发症，吞咽困难导致患者的营养摄取困难，降低患者生活质量，肺部感染则与吞咽障碍等多种因素密切相关[1]。鉴于呼吸训练已在循环、内分泌、免疫、消化、泌尿和神经系统等非呼吸系统疾病得到的广泛应用[2]，通过肺康复的呼吸训练可有效提升个体日常生活能力，可用于改善和治疗吞咽障碍，避免肺部感染。目前的肺康复治疗计划除了呼吸控制和呼吸肌训练等常规手段外，肺功能训练的其他手段也得到了有效的应用。本研究将肺功能训练器和声乐训练结合来治疗脑卒中后口腔期吞咽启动困难患者，疗效显著，现报告如下。, http://www.100md.com(黄营湘)