王丽莹　单晶丽　李红颖　吴杨

摘要：目的 呼吸训练结合运动想象疗法对脑卒中患者吞咽功能障碍的改善情况研究。方法 选取2019年2月-2020年2月在我院进行治疗的脑卒中吞咽功能障碍患者共60例，随机分为观察组和参照组，各30例。参照组应用呼吸训练，观察组采用呼吸训练结合运动想象疗法。对比两组患者的干预效果、满意度。结果 两组患者的干预有效率对比有差异，观察组高于参照组，差异明显（P<0.05）。两组患者的满意度对比有差异，观察组高于参照组，差异明显（P<0.05）。结论 呼吸训练结合运动想象疗法可促进患者吞咽功能的改善，并提高患者的满意度，值得推广。

关键词：呼吸训练;运动想象疗法;脑卒中;吞咽功能障碍

[Abstract] Objective To study the improvement of swallowing dysfunction in stroke patients by respiratory training combined with motor imagination therapy. Methods 60 stroke patients with swallowing dysfunction treated in our hospital from February 2019 to February 2020 were randomly divided into observation group and reference group，with 30 cases in each group. Respiratory training was used in the reference group and respiratory training combined with motor imagination therapy was used in the observation group. The intervention effect and satisfaction of the two groups were compared. Results there were significant differences in the intervention efficiency between the two groups. The observation group was higher than the reference group（P < 0.05）. There were significant differences in satisfaction between the two groups. The observation group was higher than the reference group（P < 0.05）. Conclusion breathing training combined with exercise imagination therapy can improve patients' swallowing function and improve patients' satisfaction，which is worth popularizing.

[Key words] breathing training;Motor imagery therapy;Stroke;Swallowing dysfunction

腦卒中是临床常见的脑血管疾病，此病发生后患者多伴有严重的后遗症，其中，吞咽功能障碍则属于脑卒中患者最为常见的后遗症【1】。此种情况的存在会导致患者出现进食困难等问题，且此类患者多伴有肺通气功能减弱的情况【2】。因而，通过有效的临床干预促进患者吞咽功能障碍改善就显得极为重要。鉴于此，此次研究将围绕着呼吸训练结合运动想象疗法对脑卒中患者吞咽功能障碍的改善情况进行分析论述，详细报道如下：

1 资料和方法

1.1一般资料

选取2019年2月-2020年2月在我院进行治疗的脑卒中吞咽功能障碍患者共60例，随机分为观察组和参照组，各30例。参照组男18例，女12例，年龄50-75岁，平均年龄（60.77±5.67）岁;观察组男16例，女14例，年龄50 -76岁，平均年龄（60.83±5.44）岁;以上基本资料对比无明显差异（P>0.05）。纳入标准：纳入研究的患者均符合对脑卒中合并吞咽功能障碍的诊断标准;排除标准：合并其他严重疾病者;精神病史者;临床资料不完整者。