| 李伟利,仝林,章闻捷.基于镜像神经元理论的动作观察疗法对脑卒中后吞咽障碍的治疗效应[J].浙江中西医结合杂志,2019,29(5): |
| 基于镜像神经元理论的动作观察疗法对脑卒中后吞咽障碍的治疗效应 |
| Therapeutic effect of action observation therapy based on mirror neuron on dysphagia after stroke |
| 投稿时间：2018-10-04 修订日期：2018-12-20 |
| DOI： |
| 中文关键词: 镜像神经元 动作观察疗法 脑卒中 吞咽障碍 |
| 英文关键词:mirror neuron action observation therapy stroke dysphagia |
| 基金项目: |
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| 中文摘要: |
| 摘要 目的 探讨基于镜像神经元理论的动作观察疗法对脑卒中后吞咽障碍患者的临床疗效。方法 50例脑卒中后吞咽障碍患者按照随机数字表法分成治疗组（n=25）和对照组（n=25）。对照组接受常规吞咽康复训练，治疗组在此基础上增加AOT。在治疗前及治疗8周后分别采用洼田饮水试验评定吞咽功能；同时采用X线吞咽透视检查法（video fluoroscopic swallowing study, VFSS）观察并精确测量口腔期时长、咽期起始时间、咽期时长；治疗的8周内，观察并记录两组患者误吸率和肺炎发生率。结果 治疗8周后，两组患者吞咽功能都得到明显改善（P＜0.05）。治疗组总有效率明显优于对照组（P＜0.05）；口期时长、咽期起始时间及咽期时长，对照组均比治疗组耗时长（均P＜0.05）；吸入性肺炎发生率治疗组（0%）低于对照组（8%）。两组间比较差异有统计学意义（P＜0.05）。结论 基于镜像神经元理论的动作观察疗法能有效改善脑卒中后吞咽障碍患者的吞咽功能，缩短口咽期时长，降低误吸风险，减少吸入性肺炎的发生。 |
| 英文摘要: |
| Abstract Objective To investigate the clinical effect of action observation therapy （AOT）based on mirror neuron on stroke patients with dysphagia. Methods 50 patients after stroke with dysphagia were divided into treatment group(n=25) and control group(n=25) randomly. The control group were given routine dysphagia rehabilitation training, while the treatment group received AOT in addition. Before and after 8 weeks of treatment, all patients were evaluated by Kubota water-drinking test scale；video-fluoroscopic swallowing study(VFSS) was put to use to measure the oral transit time, presence of pharyngeal delay and pharyngeal transit time accurately; in the period of 8 weeks’ treatment, the incidence of aspiration and pulmonary infection were observed and recorded.Results After the treatment of 8 weeks, the total effective rate in 2 groups showed a significant post-treatment effect(P＜0.05). The scores of Kubota water-drinking test scale were much superior in action observation group compared with those in control group (P＜0.05). Patients in control group need much more time in the oral transit time, the presence of pharyngeal delay and the pharyngeal transit time(all P<0.05). Lower incidence of aspiration pneumonia was presented in treatment group (0%) than that in control group (24%). Between two groups after treatment, significant differences were presented statistically（P＜0.05）. Conclusion AOT based on mirror neuron can improve the recovery of swallowing function after stroke, shorten the the oral and pharyngeal transit time,and reduce the risk of aspiration as well as the incidence of aspiration pneumonia. |
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