肌内效贴对脑卒中吞咽障碍患者流涎的疗效

doi:10.3969/j.issn.1006-9771.2022.05.007

摘要/Abstract

摘要：

目的观察肌内效贴对脑卒中后流涎的治疗效果。方法 2019年10月至2021年1月,脑卒中后吞咽障碍流涎患者40例随机分为对照组和试验组,各20例。两组均接受常规药物治疗、吞咽常规训练和吞咽困难康复护理,试验组加用肌内效贴,共3周。治疗前后采用功能性经口摄食评估量表(FOIS)、洼田饮水试验(WST)和教师流涎量表(TDS)进行评定。结果试验组脱落1例。治疗后,两组FOIS、TDS和WST评分均改善(|Z| > 2.000, P < 0.05),试验组均明显优于对照组(|Z| > 3.045, P < 0.01)。结论配合肌内效贴可进一步改善脑卒中后吞咽障碍患者的流涎。

关键词: 脑卒中, 吞咽障碍, 流涎, 肌内效贴

Abstract:

Objective To observe the effect of Kinesio taping on salivation after stroke. Methods From October, 2019 to January, 2021, 40 patients with salivation after stroke were randomly divided into control group (n = 20) and experimental group (n = 20). Both groups received routine medicine, routine rehabilitation for dysphagia and rehabilitation nursing, while the experimental group received Kinesio taping in addition, for three weeks. They were assessed with Functional Oral Intake Scale (FOIS), Water Swallow Test (WST) and Teacher Drooling Scale (TDS) before and after treatment. Results One case dropped in the experimental group. The scores of FOIS, TDS and WST improved in both groups after treatment (|Z| > 2.000, P < 0.05), and improved more in the experimental group than in the control group (|Z| > 3.045, P < 0.01). Conclusion Kinesio taping may relieve the salivation of patients with dysphagia after stroke.

Key words: stroke, dysphagia, salivation, Kinesio taping

中图分类号:

R743.3

周雪珍,吴文秀,林祖琛,李海燕,叶素贞. 肌内效贴对脑卒中吞咽障碍患者流涎的疗效[J]. 《中国康复理论与实践》, 2022, 28(5): 530-533.

ZHOU Xuezhen,WU Wenxiu,LIN Zuchen,LI Haiyan,YE Suzhen. Effect of Kinesio taping on salivation for stroke patients with dysphagia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 530-533.

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组别	n	性别(男/女)/n	年龄/岁	病程/d
对照组	20	13/7	64.0±13.6	17.5±7.4
试验组	19	11/8	61.7±13.5	17.9±9.1
χ²/t值		-0.178	-0.669	0.149
P值		0.860	0.507	0.882

组别	n	治疗前	治疗后	Z值	P值
对照组	20	4(2.25, 4)	4.5(3, 5)	-3.276	0.001
试验组	19	4(4, 4)	6(5, 7)	-3.916	< 0.001
Z值		-1.061	-3.544
P值		0.289	< 0.001

组别	n	治疗前	治疗后	Z值	P值
对照组	20	3(3, 4)	3(2, 4)	-2.000	0.046
试验组	19	4(3, 4)	2(2, 2)	-3.934	< 0.001
Z值		-1.413	-3.647
P值		0.158	< 0.001

组别	n	治疗前	治疗后	Z值	P值
对照组	20	4.5(4, 5)	4(3, 5)	-2.598	0.009
试验组	19	5(5, 5)	2(1, 4)	-3.775	< 0.001
Z值		-1.454	-3.045
P值		0.146	0.002