开窍利咽按摩法联合舌压抗阻反馈训练在卒中后吞咽障碍患者康复护理中的应用

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Abstract Objective To observe the application effect of kaiqiao liyan massage combined with tongue pressure resistance feedback training in rehabilitation nursing of patients with dysphagia after stroke (DAS). Methods A total of 100 patients with DAS from January 2019 to January 2020 treated in Qingdao Haici Medical Group Qingdao Traditional Chinese Medicine Hospital were prospectively selected, the random number table method was used to divide them into control group and observation group, with 50 cases in each group. The control group was given routine rehabilitation nursing+tongue pressure resistance feedback training; the observation group was given routine rehabilitation nursing+tongue pressure resistance feedback training+resuscitation and throat massage, both were intervened continuously for four weeks. The swallowing function (evaluated by Rosenbek penetration-aspiration scale [PAS]), degree score of dysphagia (VGF) and quality of life (evaluated by swallowing quality of life questionnaire [SWAL-QOL]) were compared between the two groups before and after four weeks of intervention, the incidence of complications during the intervention was statistically analyzed. Results After four weeks of intervention, the PAS score in both groups was decreased than that before intervention, the VGF score was increased than that before treatment, and the PAS score in the observation group was lower than the control group, and the VGF score was higher than the control group, with statistical significant differences (P ＜ 0.05); after four weeks of intervention, the SWAL-QOL score of both groups were increased than that before intervention, the observation group was higher than the control group, with statistical significant differences (P ＜ 0.05). There were no significant difference in the total incidence of complications between two group (P ＞ 0.05). Conclusion Patients with DAS receiving kaiqiao liyan massage combined with tongue pressure resistance feedback training during rehabilitation nursing can improve the benefits of rehabilitation nursing in patients, the swallowing function and quality of life of patients are significantly improved, which is worthy of application.

Key words： Stroke Dysphagia Kaiqiao liyan massage Tongue pressure resistance feedback training Swallowing function

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	CHEN Xuan1 LIU Xia1 ZHANG Na2 SUN Lili2▲

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CHEN Xuan1 LIU Xia1 ZHANG Na2 SUN Lili2▲. Application of kaiqiao liyan massage combined with tongue pressure resistance feedback training in rehabilitation nursing of patients with dysphagia after stroke[J]. 中国医药导报, 2021, 18(16): 185-188.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I16/185

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