Nursing Department, Houjie Hospital of Dongguan, Dongguan, Guangdong, China.
Department of Neurology, Houjie Hospital of Dongguan, Dongguan, Guangdong, China.
J Int Med Res. 2021 May;49(5):3000605211013198. doi: 10.1177/03000605211013198.
We investigated the effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia.
We randomly classified 214 patients with senile vascular dementia and swallowing dysfunction into a control group (CG, n = 106) and observation group (OG, n = 108). Both groups underwent health education, psychological intervention, and training of the oral muscle group. The OG additionally underwent the Mendelsohn maneuver and swallowing training. The Hasegawa Dementia Scale (HDS), China Stroke Scale (CSS), and Neurobehavioral Cognitive Status Examination (NCSE) were used to evaluate dementia, neurological impairment, and cognitive dysfunction, respectively.
The OG had a higher rate of effective therapy than the CG. After intervention, the OG showed better swallowing function than the CG. At 15 days and 1 month after intervention, the OG had higher video fluoroscopic swallowing exam scores than the CG. The OG had lower serum interleukin (IL)-1, IL-6, and tumor necrosis factor-α levels than the CG. After intervention, the OG had higher HDS and NCSE scores and lower CSS scores than the CG.
The Mendelsohn maneuver and swallowing training can improve swallowing function in patients with senile vascular dementia complicated with dysphagia and help to ameliorate the inflammatory response.
研究 Mendelsohn 手法联合吞咽训练对老年血管性痴呆合并吞咽障碍患者的影响。
将 214 例老年血管性痴呆伴吞咽功能障碍患者随机分为对照组（CG，n=106）和观察组（OG，n=108）。两组均给予健康教育、心理干预、口腔肌群训练，OG 组加用 Mendelsohn 手法联合吞咽训练。采用 Hasegawa 痴呆量表（HDS）、中国脑卒中量表（CSS）、神经行为认知状态检查量表（NCSE）分别评估痴呆、神经功能缺损、认知功能。
OG 组的有效治疗率高于 CG 组。干预后，OG 组的吞咽功能优于 CG 组。干预后 15 天和 1 个月，OG 组的视频荧光吞咽检查评分均高于 CG 组。OG 组的血清白细胞介素（IL）-1、IL-6 和肿瘤坏死因子-α水平低于 CG 组。干预后，OG 组的 HDS 和 NCSE 评分高于 CG 组，CSS 评分低于 CG 组。
Mendelsohn 手法联合吞咽训练可改善老年血管性痴呆合并吞咽障碍患者的吞咽功能，有助于减轻炎症反应。
