摘要
目的探讨吞咽康复训练对卒中后吞咽困难患者吞咽功能和吸入性肺炎的影响。方法 116例吞咽困难患者随机分为干预组(常规治疗+电针治疗+吞咽训练)及对照组(常规治疗+电针治疗)。于入院时及吞咽训练3周时,采用吞咽功能评估量表评价吞咽训练疗效,并观察吸入性肺炎的情况。结果入院时,两组吞咽功能评分组间差异无统计学意义(P>0.05)。经过3周吞咽训练,干预组总有效率为94.83%,对照组为77.59%,组间差异具有统计学意义(P<0.05);入院时,干预组吸入性肺炎发生率为12.07%,对照组为13.79%,两者差异无统计学意义(P>0.05);吞咽训练3周时,干预组为20.70%,对照组34.48%,两者差异具有统计学意义(P<0.05)。结论吞咽康复训练可以有效改善卒中后吞咽困难患者的吞咽功能,并降低吸入性肺炎的发生。
Objective To investigate the effect of swallowing rehabilitation training on swallowing functional recovery after stroke and incidence of aspiration pneumonia. Methods 116 cases were randomly divided into conventional therapy plus swallowing training and electro-acupuncture group（intervention group）and conventional therapy plus electro-acupuncture group（control group）. Within 24 hours of admission and three weeks,the application of swallowing function evaluation scale to assess the efficacy after swallowing training,while observing two groups of patients admitted to hospital and rehabilitation after the first 21 days of the occurrence of aspiration pneumonia. Results Beginning of the study,there was no significant difference between the two groups（P 0.05）. After 3 weeks of swallowing training,the total effective rate was 94.83% in the intervention group,77.59% in the control group（P 0.05）,while the control group was 13.79%,while the control group was 20.70%,while the control group was 34.48%,the difference was statistically significant（P 0.05）. Conclusion Swallowing rehabilitation can effectively improve post-stroke dysphagia patients,can also reduce the incidence of aspiration pneumonia after stroke.
出处
《中国卫生标准管理》
2016年第4期77-79,共3页
China Health Standard Management
关键词
脑卒中
吞咽困难
吞咽康复训练
吸入性肺炎
Stroke
Dysphagia
Swallowing rehabilitation training
Aspiration pneumonia
