Research progress of intramuscular patch in improving dysphagia after stroke
肌内效贴在改善脑卒中吞咽障碍中的研究进展

摘要

目的 本文分析肌内效贴在改善脑卒中吞咽障碍的临床效果。方法 入组样本选自本院神经内科在2021年5月-2022年5月期间就医并接受脑卒中治疗的吞咽障碍患者，对比患者治疗前后的吞咽功能评估（洼田饮水试验和SSA）。结果 研究治疗组与常规治疗组在治疗前吞咽障碍评分无明显差异，P＞0.05说明不存在对比意义，而治疗后研究治疗组的吞咽障碍评分优于常规护理组，P＜0.05说明存在对比意义。结论 对脑卒中吞咽障碍患者采取常规康复治疗+肌内效贴治疗干预可以有效提高吞咽功能评分，但由于此次研究的样本量和实验设计不足，因此不能提供更加详细的医学依据，但可以确定肌内效贴可通过改善舌骨上下肌群收缩力及口咽感觉反馈促进咽肌开放，改善吞咽功能，因此值得在之后的临床研究中得到完善。

Abstract

Objective to analyze the clinical effect of intramuscular plaster in improving dysphagia after stroke.
Methods: the enrolled samples were selected from the Department of Neurology of our hospital from May 2021 to may 2022 The swallowing work of patients with dysphagia who received medical treatment and received stroke treatment was compared before and after treatment Energy assessment (Wada drinking water test and SSA).
Results: there was no significant difference in the score of dysphagia between the study treatment group and the routine treatment group before treatment, P > 0.05, indicating that there was no comparative significance, while after treatment, the score of dysphagia in the study treatment group was better than that in the routine nursing group, P < 0.05, indicating that there was comparative significance.
Conclusion  : routine rehabilitation therapy + intramuscular plaster therapy intervention for stroke patients with dysphagia can effectively improve the score of swallowing function. However, due to the insufficient sample size and experimental design of this study, it can not provide more detailed medical basis, but it can be determined that intramuscular plaster can promote the opening of pharyngeal muscle and improve swallowing function by improving the contractility of upper and lower hyoid muscles and oropharyngeal sensory feedback, Therefore, it is worth improving in the subsequent clinical research.