《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (09): 1078-1081.

• 基础研究 • 上一篇    下一篇

镜像疗法对急性期脑卒中吞咽障碍的效果

龙耀斌，张红敏
  

  1. 作者单位：广西医科大学第一附属医院西院康复医学科，广西南宁市 530007。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-09-25 发布日期:2015-09-25

Effect of Mirror Therapy on Acute Stroke Dysphagia

LONG Yao-bin, ZHANG Hong-min
  

  1. Department of Rehabilitation Medicine, the First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530007, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-09-25 Online:2015-09-25

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摘要： 目的 探讨镜像治疗在急性期脑卒中吞咽障碍康复中的应用效果。方法 60例脑卒中吞咽障碍患者随机分成治疗组和对照组，每组30例。对照组接受常规吞咽康复和间歇口腔胃管营养法，治疗组在此基础上给予镜像治疗。采用洼田饮水试验和电视透视吞咽评估进行评定，观察吸入性肺炎发生率。结果 治疗 4周后，治疗组口期传递时间、吞咽反应时间、咽期传递时间、喉关闭期较对照组改善(P<0.05)；治疗组临床总有效率高于对照组(P<0.05)，吸入性肺炎发生率低于对照组(P<0.05)。结论镜像治疗能进一步改善急性期脑卒中后吞咽困难患者的吞咽功能，降低误吸风险。

关键词: 脑卒中, 吞咽障碍, 镜像疗法, 误吸

Abstract: Objective To observe the effect of mirror therapy on acute stroke dysphagia. Methods 60 patients with dysphagia were randomly divided into treatment group (n=30) and control group (n=30). The control group received routine dysphagia rehabilitation and intermittent oral gastric tube feeding, while the treatment group received mirror therapy in addition. They were assessed with Kubota water-drinking test and swallowing videofluoroscopy 4 weeks after treatment, and the incidence of aspiration were recorded. Results The oral transit time, swallowing reaction time, pharyngeal transit time, laryngeal closure duration improved in the treatment group compared with the control group in swallowing videofluoroscopy (P<0.05). The total effective rate was obviously higher in the treatment group than in the control group (P<0.05), with the lower incidence of aspiration pneumonia (P<0.05). Conclusion Mirror therapy may promote the recovery of swallowing function after acute stroke, and reduce the risk of aspiration.

Key words: stroke, dysphagia, mirror therapy, aspiration