1 海安市人民医院神经外科，江苏 海安 226600
目的：探讨任务导向结合常规吞咽训练应用于桥小脑角区肿瘤术后吞咽障碍患者中的效果。方法：选择2019年1月至2020年1月海安市人民医院收治的桥小脑角区肿瘤术后吞咽障碍患者88例，按随机数字表法分为两组，各44例。对照组行常规吞咽训练，观察组在此基础上结合任务导向训练。对比两组疗效、训练前后吞咽功能改善情况及并发症发生率。结果：观察组总有效率高于对照组(P<0.05)；观察组训练1个月后吞咽功能障碍程度轻于对照组(P<0.05)；观察组训练1个月后X线吞咽造影检查(videofluoroscopic swallowing study，VFSS)评分高于对照组(P<0.05)；观察组总并发症发生率低于对照组(P<0.05)。结论：任务导向结合常规吞咽训练应用于桥小脑角区肿瘤术后吞咽障碍患者中疗效确切，可改善吞咽功能，减少并发症发生。
Efficacy of task-oriented conventional swallowing training in patients with dysphagia after cerebellopontine angle tumor surgery
CorrespondingAuthor: LI Yuan
This work was supported by Jiangsu Province “333” Project, China (BRA2016187).
Objective: To explore the efficacy of task-oriented conventional swallowing training in patients with dysphagia after cerebellopontine angle tumor surgery. Methods: A total of 88 patients with dysphagia after cerebellopontine angle tumor surgery admitted to our hospital from January 2019 to January 2020 were selected and divided into two groups using a random number table, with 44 cases in each group. The control group received routine swallowing training, and the observation group combined task-oriented training on this basis. The efficacy, improvement of swallowing function before and after training, and the incidence of complications were compared between the two groups. Results: The total effective rate of the observation group was higher than that of the control group (P<0.05); the degree of swallowing dysfunction in the observation group after 1 month of training was lighter than that of the control group (P<0.05); the VFSS score of the observation group was higher than the control group after 1 month of training (P<0.05); the total incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion: Task-oriented combined with conventional swallowing training is effective in patients with dysphagia after cerebellopontine angle tumor surgery, which can improve swallowing function and reduce complications.
task-oriented training; swallowing training; cerebellopontine angle tumors; dysphagia; efficacy; complications