吞咽功能康复训练对改善血管性帕金森综合征患者吞咽障碍效果观察  

Effect of rehabilitation in vascular Parkinsonism patients with dysphagia

作　　者：高翠莲[1] 王彩静[2] 李辉[3] 王勤周[3] 

机构地区：[1]山东大学齐鲁医院护理部,济南250012 [2]山东大学趵突泉校区校医院,济南250012 [3]济南市第四人民医院神经内科,济南250012

出　　处：《中国实用神经疾病杂志》2010年第11期19-20,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨早期康复训练对血管性帕金森综合征伴吞咽障碍患者的治疗效果。方法选择血管性帕金森综合征伴吞咽障碍患者76例,随机分为常规治疗组和康复治疗组,各38例。前者采用常规治疗,后者在常规治疗基础上实施早期吞咽功能康复训练,60 d后评定治疗效果。结果康复治疗组的各项营养学指标均高于常规治疗组(P<0.05),吞咽功能改善总有效率显著高于常规治疗组(P<0.01),并且与常规治疗组比较,康复治疗可显著降低吸人性肺炎发生率。结论血管性帕金森综合征并发吞咽障碍患者进行早期康复训练,可明显改善患者吞咽困难程度,提高患者生存质量。Objective To investigate the experience of rehabilitation in vascular parkinsonism patients with dysphagia.Methods Seventy-six cases of vascular Parkinsonism patients with dysphagia were randomly divided into routine treatment group and rehabilitation treatment group,38 patients in each group.The two groups were treated routinely while swallowing rehabilitation was trained in the latter and both treated for 60 days.Results The parameters of nutrition of the patients in rehabilitation treatment group were superior to those in routine treatment group（P0.05）;The significant differences were found in the comparison of the function of swallowing and the occurrence of aspiration pneumonia（P0.01） between two groups.Conclusion Conclusion The early and effective rehabilitation can not only reduce the incidence of complications,but also improve the swallowing function and quality of life of the patients with vascular Parkinsonism.

关 键 词：血管性帕金森综合征 吞咽障碍 康复治疗 

分 类 号：R742.5[医药卫生—神经病学与精神病学]