【摘要】 目的 探讨冷疗对脑卒中吞咽障碍的康复效果。方法 选取2018年1月-2020年12月医院收治的120例脑卒中吞咽障碍患者作为研究对象，根据简单随机数表法分为观察组（60例）与对照组（60例）。观察组给予冷疗配合常规治疗方法（即舌肌训练、中频电刺激康复疗法）治疗，对照组给予常规治疗方法治疗。比较两组患者的疗效、洼田饮水试验评分、电视透视吞咽功能检查（VFSS）评分、吞咽功能评定量表（SSA）评分、神经功能缺损评分（NIHSS）、吞咽障碍特异性生存质量量表（SWAL-QOL）评分及并发症发生率。结果 观察组总有效率为91.67%，高于对照组（76.67%），比较差异有统计学意义（P<0.05）。两组患者治疗后洼田饮水试验评分、SSA评分及VFSS评分比较差异有统计学意义（P<0.05）。两组患者治疗后NIHSS评分、SWAL-QOL评分比较差异有统计学意义（P<0.05）。观察组并发症发生率低于对照组，比较差异有统计学意义（P<0.05）。结论 冷疗配合舌肌训练、中频电刺激康复疗法治疗脑卒中吞咽障碍的疗效显著，能促进患者吞咽功能恢复，减轻神经功能损伤，提高生存质量，且并发症少，值得广泛推广应用。更多还原

【Abstract】 Objective To explore the rehabilitation effect of cold therapy on stroke dysphagia.Methods 120 stroke patients with dysphagia admitted to the hospital from January 2018 to December 2020 were selected as the research objects.According to the simple random number table method,they were divided into observation group(60 cases) and control group(60 cases).The observation group was given cold therapy combined with conventional treatment methods(ie,tongue muscle training,medium-frequency electrical stimulation rehabilitation therapy),and the control group was given conventional treatment methods.The efficacy,the score of the Watian drinking water test,the television fluoroscopy swallowing function test(VFSS) score,the swallowing function rating scale(SSA) score,the neurological deficit score(NIHSS),the swallowing disorder-specific quality of life scale(SWAL)-QOL) and the rate of complications was compared between of the two groups.Results The total effective rate of the observation group was 91.67%,which was higher than that of the control group(76.67%),and the difference was statistically significant(P<0.05).After treatment,the scores of the Watian drinking water test,SSA score and VFSS score between the two groups were statistically significant(P<0.05).There was a statistically significant difference in the NIHSS score and SWAL-QOL score between the two groups of patients after treatment(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Cold therapy combined with tongue muscle training and medium-frequency electrical stimulation rehabilitation therapy are effective in treating stroke dysphagia,which can promote the recovery of swallowing function,reduce neurological damage,improve quality of life,have fewer complications and it is worthy of widespread application.更多还原