Volume 20 Issue 11
Nov.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(11): 1938-1940
HU Xiao, LIN Hai-yan, CHEN Yan-yan, FU Fang-wang. The effect of combined training on patients with dysphagia after stroke based on volume viscosity swallowing test[J]. Chinese Journal of General Practice, 2022, 20(11): 1938-1940. doi: 10.16766/j.cnki.issn.1674-4152.002740
Citation: HU Xiao, LIN Hai-yan, CHEN Yan-yan, FU Fang-wang. The effect of combined training on patients with dysphagia after stroke based on volume viscosity swallowing test[J]. Chinese Journal of General Practice, 2022, 20(11): 1938-1940. doi: 10.16766/j.cnki.issn.1674-4152.002740
shu

The effect of combined training on patients with dysphagia after stroke based on volume viscosity swallowing test

doi: 10.16766/j.cnki.issn.1674-4152.002740

  • Department of Neurology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2021KY797

 Y2020563

  • Received Date: 2021-10-07
    Available Online: 2022-12-30
    Abstract
  •   Objective  To explore the effect of combined training based on the volume viscosity swallowing test (V-VST) on stroke patients with dysphagia, and to provide a basis for clinical rehabilitation training and treatment.  Methods  A total of 100 stroke patients with dysphagia who were treated in the Second Affiliated Hospital of Wenzhou Medical University from January 2020 to August 2021 were selected and randomly divided into observation group and control group according to the random number table method, with 50 cases in each group. The patients in the control group were given symptomatic treatment and routine care, and the patients were instructed to carry out simple swallowing function training. Patients in the observation group were screened by the V-VST test on the basis of the control group, and the feeding training and swallowing rehabilitation training programs were formulated according to the screening results. The time of gastric tube intubation, hospital stay, incidence of aspiration pneumonia and incidence of aspiration within 1 month of the two groups of patients were recorded. The swallowing function was assessed by the standardized swallowing assessment (SSA) before and after the intervention. The results of the water field drinking test and the treatment effect of dysphagia were compared between the two groups.  Results  The gastric tube retention time, hospitalization time, aspiration rate, and incidence of aspiration pneumonia in the observation group were significantly lower than those in the control group (all P < 0.05). Before the intervention, the swallowing function scores of the two groups of patients were the same. After the intervention, the swallowing function scores of the two groups were significantly decreased, and the observation group was lower than the control group (all P < 0.05). After the intervention, there were more cases of grades Ⅰ and Ⅱ of the water-field drinking test in the observation group than that in the control group (P < 0.05). The effective rate of treatment for dysphagia in the observation group was 96.00% (48/50), which was higher than that in the control group (74.00%, 37/50, χ2=9.490, P=0.002).  Conclusion  Combined training based on V-VST can effectively improve the treatment effect of stroke patients with dysphagia, reduce the rate of aspiration during hospitalization and the incidence of aspiration pneumonia, which has good clinical application value.

     

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