吞咽障碍理疗仪治疗阿尔茨海默病所致吞咽障碍的疗效观察
Therapeutic Effect of Dysphagia Physiotherapy Apparatus on Dysphagia in Patients with Alzheimer’s Disease
DOI: 10.12677/ACM.2022.1281031, PDF,   
作者: 陈 娇, 孔伶俐*:青岛市精神卫生中心老年科,山东 青岛;孙 慧:青岛大学附属医院康复医学科,山东 青岛;黎媛媛:青岛大学,山东 青岛
关键词: 阿尔茨海默病吞咽障碍吞咽障碍理疗仪洼田饮水实验Alzheimer’s Disease Dysphagia Dysphagia Physiotherapy Apparatus Water Swallow Test
摘要: 目的:探讨吞咽障碍理疗仪在阿尔茨海默病所致吞咽障碍的应用疗效。方法:选取2020年10月至2022年3月在青岛市精神卫生中心老年科就诊的存在吞咽障碍的阿尔茨海默病患者共60例,随机数字表法分为对照组和实验组,对照组采取常规护理,实验组应用吞咽障碍理疗仪治疗,干预4周后比较两组吞咽功能改善情况。结果:干预前,两组的洼田饮水试验分级比较,差异无统计学意义(P > 0.05);干预4周后,两组的洼田饮水试验评分均高于干预前,组内差异有统计学意义(P < 0.05),且实验组改善程度优于对照组,差异有统计学意义(P < 0.05)。结论:吞咽障碍理疗仪能改善阿尔茨海默病的吞咽障碍,减少并发症的发生。
Abstract: Objective: To explore the effect of dysphagia physiotherapy apparatus on dysphagia caused by Alz-heimer’s disease (AD). Method: A total of 60 patients with Alzheimer’s disease with dysphagia who were treated in the geriatric department of Qingdao mental health center from October 2020 to March 2022 were randomly divided into control group and experimental group. The control group was treated with routine nursing, and the experimental group was treated with dysphagia physio-therapy apparatus. After 4 weeks of intervention, the improvement of swallowing function of the two groups was compared. Result: Before the intervention, there was no significant difference in the grading of water swallow test (WST) between the two groups (P > 0.05); After 4 weeks of interven-tion, the scores of WST in the two groups were higher than those before the intervention, and the difference was statistically significant (P < 0.05), and the improvement degree of the experimental group was better than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion: Dysphagia physiotherapy apparatus can improve the dysphagia caused by Alz-heimer’s disease and reduce the occurrence of complications.
文章引用:陈娇, 孙慧, 黎媛媛, 孔伶俐. 吞咽障碍理疗仪治疗阿尔茨海默病所致吞咽障碍的疗效观察[J]. 临床医学进展, 2022, 12(8): 7149-7153. https://doi.org/10.12677/ACM.2022.1281031

参考文献

[1] Horner, J., Albert, M.J., Dawson, D.V. and Cook, G.M. (1994) Swallowing in Alzheimer’s Disease. Alzheimer Disease & Associated Disorders, 8, 177-195. [Google Scholar] [CrossRef] [PubMed]
[2] Sura, L., Madhavan, A., Carnaby, G., et al. (2012) Dysphagia in the Elderly: Management and Nutritional Considerations. Clinical Interventions in Aging, 7, 287-298.
[3] 李超, 张梦清, 窦祖林, 温红梅, 安德莲. 中国特定人群吞咽功能障碍的流行病学调查报告[J]. 中华物理医学与康复杂志, 2017, 39(12): 937-943.
[4] 綦三阳, 欧娜, 谢玲, 等. 冰疗法联合低频电刺激治疗阿尔茨海默病所致吞咽障碍的临床研究[J]. 现代医药卫生, 2022, 38(2): 210-214.
[5] 韩燕, 张甜甜. 便携式吞咽障碍治疗仪在脑梗死后吞咽障碍患者中的应用效果[J]. 医疗装备, 2021, 34(22): 181-182.
[6] 谢镇良, 陈毅成, 招碧兰, 等. 超激光星状神经节阻滞联合神经肌肉电刺激治疗脑卒中吞咽障碍的疗效观察[J]. 中华物理医学与康复杂志, 2013, 35(5): 384-386.
[7] Easterling, C.S. and Robbins, E. (2008) De-mentia and Dysphagia. Geriatric Nursing, 29, 275-285. [Google Scholar] [CrossRef] [PubMed]
[8] Suh, M., Kim, H. and Na, D.L. (2009) Dysphagia in Patients with Dementia: Alzheimer versus Vascular. Alzheimer Disease & Associated Disorders, 23, 178-184. [Google Scholar] [CrossRef
[9] Humbert, I.A., McLaren, D.G., Kosmatka, K., Fitszgerald, M., Johnson, S., Porcaro, E., et al. (2010) Early Deficits in Cortical Control of Swallowing in Alzheimer’s Disease. Journal of Alzheimer’s Disease, 19, 1185-1197. [Google Scholar] [CrossRef
[10] Teasell, R., Foley, N., Fisher, J., et al. (2002) The Incidence, Man-agement and Complications of Dysphagia in Patients with Medullary Strokes Admitted to a Rehabilitation Unit. Dyspha-gia, 17, 115-120. [Google Scholar] [CrossRef] [PubMed]
[11] 施至远, 陈人豪. 老年人吞咽障碍之评估与处置[J]. 长期照护杂志, 2008, 12(4): 337-346.
[12] Altman, K.W., Yu, G.P. and Schaefer, S.D. (2010) Consequence of Dysphagia in the Hospitalized Patient: Impact on Prognosis and Hospital Resources. Archives of Otorhinolaryngology-Head & Neck Surgery, 136,784-789. [Google Scholar] [CrossRef] [PubMed]
[13] 杨玺, 刘进, 马明. 深层咽肌神经刺激和表面肌电生物反馈在脑卒中后咽期吞咽障碍中的应用[J]. 中国康复医学杂志, 2016, 31(4): 451-453.