首页|期刊导航|现代医药卫生|运动想象联合渐进式分级康复在脑卒中吞咽障碍患者中的应用效果研究

运动想象联合渐进式分级康复在脑卒中吞咽障碍患者中的应用效果研究OA

Application of motor imagery therapy combined with progressive graded rehabilitation in stroke patients with dysphagia

中文摘要英文摘要

目的 探讨运动想象疗法联合渐进式分级康复训练在脑卒中吞咽障碍患者中的应用效果.方法 选取2023年9月至2024年9月该院脑血管病科收治的脑卒中吞咽功能障碍患者76例作为研究对象,按随机数字表法将其分为对照组和研究组,每组38例.对照组患者给予常规护理,研究组患者实施运动想象疗法联合渐进式分级康复训练.比较2组患者干预前后吞咽功能恢复情况、生活质量及护理满意度.结果 干预前2组患者标准吞咽功能评估量表(SSA)评分、进食评估调查问卷(EAT-10)评分及安德森吞咽困难量表(MDADI)评分比较,差异均无统计学意义(P>0.05);干预后研究组患者SSA评分及EAT-10评分均低于对照组,MDADI评分高于对照组,差异均有统计学意义(P<0.05);研究组患者护理满意度[89.47%(34/38)]高于对照组[76.32%(29/38)],差异有统计学意义(P<0.05).结论 运动想象疗法联合渐进式分级康复训练可改善脑卒中患者吞咽功能,有效提升其生活质量及护理满意度.

Objective To evaluate the effect of motor imagery therapy(MIT)combined with progres-sive graded rehabilitation training in stroke patients with dysphagia.Methods A total of 76 stroke patients with dysphagia were randomly divided into a control group(n=38)and an observation group(n=38).The control group received routine care,while the observation group received MIT combined with progressive gra-ded rehabilitation training.The recovery of swallowing function,the satisfaction of nursing service and life quality of swallowing patients were compared between two groups.Results Before the intervention,there was no significant difference in the Standardized Swallowing Assessment(SSA),the Eating Assessment Tool-10(EAT-10)or the M.D.Anderson Dysphagia Inventory(MDADI)scores between the two groups(P>0.05).After the intervention,SSA score and EAT-10 score in observation group were lower than those in control group,and MDADI score was higher than that in the control group(P<0.05).Nursing satisfaction in obser-vation group[89.47%(34/38)]was higher than that in control group[76.32%(29/38)](P<0.05).Conclu-sion The intervention of MIT combined with progressive graded rehabilitation in stroke patients with dys-phagia can improve their swallowing function,life quality and their satisfaction of nursing service.

耿冰冰;谭素娟;韩晓玲;黄香云;叶俏

珠海市人民医院(北京理工大学附属医院/暨南大学珠海临床医学院),广东 珠海 519000珠海市人民医院(北京理工大学附属医院/暨南大学珠海临床医学院),广东 珠海 519000珠海市人民医院(北京理工大学附属医院/暨南大学珠海临床医学院),广东 珠海 519000珠海市人民医院(北京理工大学附属医院/暨南大学珠海临床医学院),广东 珠海 519000珠海市人民医院(北京理工大学附属医院/暨南大学珠海临床医学院),广东 珠海 519000

医药卫生

脑卒中运动想象疗法渐进式分级康复吞咽障碍

StrokeMotor imagery therapyProgressive graded rehabilitationDysphagia

《现代医药卫生》 2026 (1)

201-205,5

自贡市哲学社会科学重点研究基地运动与健康创新研究中心资助项目(YDJKZ23-03).

10.3969/j.issn.1009-5519.2026.01.038

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