强化吞咽训练对脑卒中后阻塞性睡眠呼吸暂停合并吞咽障碍患者的疗效研究

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Effects of Intensive Swallowing Training on Patients with Obstructive SleepApnea Complicated with Dysphagia after Stroke

WANG Lan，LU Ting

（DepartmentofRehabilitation，TaizhouJiangyanTraditionalChineseMedicine Hospital，Taizhou 2253oo，China）

AbstractObjective：To investigatetheefectsof intensiveswallowing trainingonpatientswithobstructivesleepapnea（OSA） complicatedwithdysphagiaafterstroke.Methods：FromJanuary2022to January2O24，80patients withOSAcombinedwithdysphagiaafterstrokeadmited toourhospital wererandomlyasigned totwo groupsusingarandom number table：acontrol group andanobservation group.Thecontrolgroupunderwent standardswallowing training，whiletheobservationgroupwassubjectedto intensiveswalowingtraining.Allpatientswere treatedfor4 weeks.Tefunctionaloralfedingscale（FOIS），StandardSwallowing Function Evaluation Scale（SSA），sleepstructureandeficacyofthetwo groups werecompared.Results：Post-treatment，tetherapeutic outcomes in the experimental group surpassed those observed in the control group（ P<0.05） . After the treatment，there was a notable difference in the FOIS and SSA scores between the two groups（ P<0.05 ）. There were significant differences in mean blood oxygen saturation（ MSaO2 ），sleep apnea hypopnea index（AHI），rapid eye movement（REM） and minimum blood oxygen saturation（ LSaO2 ） between 2 groups after treatment（ P<0.05 ）. Conclusion：For patients with sleep apnea complicated with dysphagiaafterstroke，intensiveswalowingtraining canbeusedfortreatment，whichcan significantlyimprovetheswallowing function and sleep status of patients.

KeywordsStroke；Dysphagia；Obstructive sleep apnea；Swallowing function； Sleep structure；Curativefect；Rapid eye movement；Standard swallowing function evaluation Scale

中图分类号：R338.63；R743.3 文献标识码：A doi：10.3969/j. issn. 2095-7130.2025.02.011

脑卒中患者中阻塞性睡眠呼吸暂停（ObstructiveSleepApnea，OSA）的发病率远高于一般人群，且伴有OSA的脑卒中患者死亡风险显著增加[1]。（剩余5024字）