脑卒中后吞咽障碍的康复治疗研究  

Study of rehabilitation to stroke patients with dysphagia

作　　者：王乐[1] 韩伏莅[2] 林建勋[3] 黄敏[1] 张玉兰[1] 王黎霞[1] 

机构地区：[1]上海市中西医结合医院神经内科,200082 [2]上海市江湾医院神经内科 [3]上海市中西医结合医院放射科,200082

出　　处：《临床神经病学杂志》2006年第2期136-138,共3页Journal of Clinical Neurology

摘　　要：目的探讨脑卒中后吞咽障碍康复治疗的疗效。方法31例脑卒中后吞咽障碍患者随机分为康复治疗组(17例)和对照组(14例)。两组患者脑卒中基础治疗相同,治疗组同时进行早期吞咽康复治疗,每日3次,连续3周。采用吞咽X线透视检查法(VFSS)对两组患者治疗前后吞咽障碍进行评分,并检查血钠、钾、白蛋白水平及吸入性肺炎发生情况。结果治疗组治疗后VFSS评分(7.2±2.1)比治疗前(4.0±1.9)及对照组(4.7±2.1)明显提高(均P<0.01);吞咽障碍恢复13例(76.5%),明显高于对照组(2例,14.3%)(P<0.01)。治疗组和对照组治疗前后血钠、钾、白蛋白含量及吸入性肺炎发生率的差异无显著性(均P>0.05)。结论吞咽障碍康复治疗对于脑卒中后吞咽障碍有明显疗效。Objective To study the effect of rehabilitation in stroke patients with dysphagia. Methods 31 cases with dysphagia were randomly divided into rehabilitation group （ 17 cases） and control group （ 14 cases）. Two groups were given same basic therapy on the whole, while the early rehabilitation was performed on the patients in rehabilitation group three times a day for 3 weeks. We compared assessment score of dysphagia by VFSS （videofluoroscopic swallowing study）, and observed serum potassium, sodium, albumin levels and the incidence of inhalation-pneumonia in two groups before and after treatment. Results VFSS score （ 7. 2 ± 2. 1 ） of rehabilitation group was markedly higher than before treatment （ 4. 0 ± 1.9 ） and control group （ 4. 7 ± 2. 1 ） （ all P 〈 0. 01 ）. 13 cases （76. 5% ） in rehabilitation group recovered, which was significantly higher than that in control group （2 cases, 14. 3% ）（ P 〈 0. 01 ）. The serum potassium, sodium, albumin levels and the incidence of inhalation-pneumonia showed no significant difference in two groups before and after treatment （ all P 〉 0. 05 ）. Conclusions Rehabilitation has a remarkable effect on stroke patients with dysphagia.

关 键 词：脑卒中 吞咽障碍 康复治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]