下颏抗阻力训练在老年肌少症合并吞咽障碍患者中的应用效果
Effects of Chin Tuck against Resistance in Elderly Patients with Sarcopenia and Dysphagia
DOI: 10.12677/ns.2025.143055, PDF,    科研立项经费支持
作者: 李雨洁*, 卢 婷, 赵雪姣：贵州中医药大学护理学院，贵州 贵阳；李 娟#, 余 欢, 唐巧玲, 唐 欢：贵州省人民医院护理部，贵州 贵阳
关键词: 肌少症；吞咽障碍；下颏抗阻力训练；Sarcopenia； Dysphagia； Chin Tuck against Resistance
摘要: 目的：探讨下颏抗阻力训练(Chin Tuck against Resistance, CTAR)在老年肌少症合并吞咽障碍患者中的应用效果。方法：本研究选取60例在医院老年病区收治的肌少症合并吞咽障碍患者，随机分为对照组和干预组。两组均接受常规的治疗与护理，干预组在此基础上接受为期6周的CTAR训练。研究在干预前及干预6周后对患者进行评估，采用洼田饮水试验(Water Swallow Test, WST)评估吞咽功能，微型营养评定法(Mini Nutritional Assessment Short Form, MNA-SF)评估营养状况，吞咽相关生存质量量表(Swallowing Quality-of-Life Questionnaire, SWAL-QOL)评估生活质量。数据使用SPSS 26.0进行统计分析，并遵循意向性分析原则。结果：干预6周后，干预组的WST评分较对照组显著降低，组间差异具有统计学意义(P < 0.05)；干预组的SWAL-QOL评分显著高于对照组，差异具有统计学意义(P < 0.05)；但干预组的MNA-SF评分与对照组相比无显著差异(P > 0.05)。结论：CTAR能够有效改善老年肌少症合并吞咽障碍患者的吞咽功能和生活质量，但对营养状况未显示明显改善效果。
Abstract: Objective: To explore the effects of chin tuck against resistance (CTAR) in elderly patients with sarcopenia and dysphagia. Methods: A total of 60 elderly patients with sarcopenia and dysphagia who were admitted to the geriatric ward of the hospital were selected and randomly assigned to the control group and intervention group. Both groups received standard treatment and care, with the intervention group additionally undergoing 6 weeks of CTAR training. Evaluations were conducted before and after the 6-week intervention, using the Water Swallow Test (WST) to assess swallowing function, the Mini Nutritional Assessment Short Form (MNA-SF) to assess nutritional status, and the Swallowing Quality-of-Life Questionnaire (SWAL-QOL) to assess quality of life. Data were analyzed using SPSS 26.0, following the intention-to-treat analysis principle. Results: After 6 weeks of intervention, the WST scores of the intervention group were significantly lower than those of the control group, with a statistically significant difference (P < 0.05). The SWAL-QOL scores of the intervention group were significantly higher than those of the control group, with a statistically significant difference (P < 0.05). However, no significant difference was observed in the MNA-SF scores between the two groups (P > 0.05). Conclusion: CTAR effectively improves swallowing function and quality of life in elderly patients with sarcopenia and dysphagia, but no significant improvement in nutritional status was observed.
文章引用：李雨洁, 李娟, 余欢, 唐巧玲, 唐欢, 卢婷, 赵雪姣. 下颏抗阻力训练在老年肌少症合并吞咽障碍患者中的应用效果[J]. 护理学, 2025, 14(3): 397-402. https://doi.org/10.12677/ns.2025.143055

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