目的：探索具身认知理论下，镜像疗法对脑卒中后咽期吞咽障碍患者的影响。

方法：将40例脑卒中后存在咽期吞咽障碍的患者按随机数表法随机分成2组，每组各20例， 其性别、年龄、脑卒中类型、病程比例等无显著统计学差异。每组均进行常规吞咽功能综合训 练，并在常规训练基础上接受不同干预训练，对照组进行静态镜像训练，观察组进行动态镜像 训练。在治疗前、后分别使用藤岛一郎吞咽疗效评价量表、洼田饮水试验（Kubota water swallowing test，WST）、吞咽造影录像检查（video fluoroscopic swallowing study，VFSS）评 估患者的吞咽功能，治疗后用WST分级结果进行总有效率的比较。

结果：治疗后 2 组患者的藤岛一郎吞咽疗效评价量表、VFSS 评分较治疗前均有明显改善 （P 值均为<0.001），观察组较对照组有明显的改善（P 值分别为 0.020 和<0.001）。治疗后 2 组 WST 等级评分降低，且观察组较对照组降低更明显，差异有统计学意义（P＝0.044）。 治疗后2组综合有效率差异具有统计学意义（P＝0.045）。

结论：动态镜像疗法和静态镜像训练均能改善脑卒中后咽期吞咽障碍患者的吞咽功能，且 基于具身认知理论下的动态镜像疗法干预疗效优于静态镜像疗法。

Objective: To explore the effect of mirror therapy on patients with dysphagia in the poststroke pharyngeal phase under embodied cognition theory.

Methods: 40 patients with pharyngeal dysphagia after stroke were randomly divided into 2 groups according to random number table method, with 20 cases in each group. There were no statistically significant differences in gender, age, stroke type, and disease duration ratio. Each group received routine swallowing treatment, and each group received different intervention training on the basis of routine. The control group received static mirror therapy, and the observation group received dynamic mirror therapy. The swallowing function of the patients was evaluated by the Fujijima swallowing efficacy evaluation scale, the Kubota water swallowing test (WST), and the video fluoroscopic swallowing study (VFSS) before and after treatment, and the total effective rate was compared by WST grading.

Results: After treatment, the scores of Fujijima swallowing efficacy evaluation scale and VFSS in 2 groups were significantly improved compared with those before treatment (P values <0.001), and the observation group was significantly improved compared with the control group (P values of 0.020 and <0.001, respectively). After treatment, the WST grade score of the two groups decreased, and the decrease of the observation group was more obvious than that of the control group, the difference was statistically significant (P＝0.044). After treatment, the comprehensive effective rate of the 2 groups was significantly different (P＝0.045).

Conclusion: Both dynamic mirror therapy and static mirror therapy can improve the swallowing function of patients with pharyngeal dysphagia after stroke, and the therapeutic effect of dynamic mirror therapy based on embodied cognition theory is superior to static mirror therapy.