周红;黄东明;黄澄;陈映萍;汪丽文;林俊良;李莹;

• 1:广西壮族自治区江滨医院

摘要(Abstract)：

目的 探讨低频电刺激联合呼吸训练对成人原发性帕金森病（PD）吞咽障碍患者吞咽功能和生活质量的影响。方法 按照随机抽签法将2019-01—2021-12广西壮族自治区江滨医院收治的90例成人原发性PD伴吞咽障碍患者，随机分为对照组45例和观察组45例。其中对照组施以常规的吞咽功能训练，观察组则采用低频电刺激联合呼吸训练，比较2组吞咽优良率、吞咽功能（VFSS评分）以及生活质量（SWAL-QOF评分）水平，对2组舌骨喉复合体动度指标（舌骨向前、舌骨上移、喉向前以及喉上移最大幅度）进行观察比较，评估2组肺功能（FVC、FEV1）水平。结果 观察组吞咽功能的优良率为91.11%，明显优于对照组的66.66%(P<0.05)；治疗后2组VFSS、SWAL-QOF评分均有所提高，且观察组VFSS、SWAL-QOF评分[（8.55±1.28分）、（184.37±27.65）]分均明显高于对照组[（6.47±0.97）分、（169.41±25.41）分]（P<0.05）；治疗后2组舌骨喉复合体动度指标较治疗前均有所提高，治疗后观察组舌骨向前、舌骨上移、喉向前以及喉上移最大幅度依次为（11.18±1.67）mm、（16.87±2.53）mm、（18.72±2.80）mm、（28.44±4.26）mm，均明显高于对照组的（8.63±1.29）mm、（14.86±2.22）mm、（16.23±2.43）mm、（25.75±3.86）mm(P<0.05)；治疗后观察组FVC、FEV1水平（2.96±0.44、2.82±0.42）与对照组（2.31±0.34、2.25±0.33）相比较，差异有统计学意义（P<0.05）。结论 低频电刺激联合呼吸训练治疗PD吞咽障碍患者不仅有利于提高患者的吞咽功能，同时也能有效改善患者肺功能水平和生活质量。

关键词(KeyWords)： 帕金森病;吞咽障碍;呼吸训练;低频电刺激

Abstract:

Keywords:

基金项目(Foundation): 广西壮族自治区卫生和计划生育委员会自筹经费课题（编号：Z20201187）;; 广西医疗卫生适宜技术开发与推广应用项目（编号：S201626）

作者(Authors): 周红;黄东明;黄澄;陈映萍;汪丽文;林俊良;李莹;

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