针对性强化语音训练在吞咽功能障碍康复中的应用

关键词：吞咽障碍  语音训练  康复

Keywords:dysphagia  speech phonology training  rehabilitation

摘要：

      摘要 目的：探讨有针对性的语音训练对脑卒中、帕金森病等患者吞咽功能障碍康复的效果。 方法：对77例因脑卒中等疾病引起吞咽功能障碍患者作前瞻性研究，将其分为语音训练组40例和对照组37例，均给予常规药物治疗和吞咽功能康复训练，语音训练组在此基础上进行针对性强化语音训练。以吞咽功能障碍程度、经口进食量(FOIS)分级评分和言语清晰度等级评定疗效。 结果：两组患者吞咽功能障碍均得到改善，但语音训练组疗效优于对照组(P<0.05)；FOIS分数及言语清晰度等级均显著提高，且语音训练组高于对照组(P<0.05)。 结论：针对性强化语音训练能改善经口进食量，提高吞咽障碍的治疗效果。

Abstract:

      Abstract Objective：To investigate the effects of oriented speech phonology training on dysphagia after stroke or Parkinson′s disease. Method：Seventy-seven patients with dysphagia after stroke or Parkinson′s disease were divided into control group and speech training group randomly. Both groups were given conventional medical treatment and functional swallowing training. Speech training group was managed with oriented speech phonology training in addition. The distinctness of speech phonology and the severity of dysphagia were assessed and the function of oral intake was evaluated with functional oral intake scale(FOIS). Result： Dysphagia reduced in both groups, and the effect was better in speech training group than that in control group(P<0.05). Scores of FOIS improved in both groups, and the effect was better also in speech training group than that in control group(P<0.05). Conclusion：Oriented speech phonology training can improve the function of oral intake and deglutition of patients with dysphagia after stroke or Parkinson′s disease.