MRP对脑卒中后吞咽障碍功能恢复的影响  

The Effects of MRP on Post-Stroke Functional Recovery in Dysphagia

作　　者：周燕[1] 俞珊珊[1] 张青[1] 徐伟[1] 

机构地区：[1]安徽省肿瘤医院神经内科,合肥市230031

出　　处：《中华全科医学》2011年第1期19-20,共2页Chinese Journal of General Practice

摘　　要：目的探讨运动再学习法(Motor relearning programme,MRP)对脑卒中后吞咽障碍功能恢复的影响。方法将28例脑卒中后吞咽障碍患者随机分为康复治疗组和自然恢复组。两组患者一般资料比较差异无统计学意义(P>0.05),自然病程<5周,能正常沟通,且合作。康复治疗组在患者生命体征稳定,神经病学体征不再进展后开始MRP+常规治疗,自然恢复组按常规治疗。采用饮水试验作为评定标准:1次5 s内饮完温水30 ml无呛咳为正常,饮水试验评定较前提高≥2个级差者为临床疗效达标。结果康复治疗组饮水试验近期恢复正常率为60.0%,自然恢复组为38.5%,临床疗效达标率分别为73.33%和53.85%,组间对比,饮水试验近期恢复正常率及临床疗效达标率差异均有统计学意义(P<0.05)。结论 MRP的干预对脑卒中后吞咽障碍功能恢复有明显疗效。Objective To investigate the effect of motor relearning program （MRP） on post-stroke functional recovery in dysphagia. Methods 28 patients with dysphagia after stroke rehabilitation patients were randomly divided into treatment group and natural recovery group. The two groups were no difference between patients with general information （P 〉 0.05 ） ,with the natural course of disease 〈 5 weeks, the normal communication, and cooperation. In the rehabilitation treatment group, MRP ＋ conventional therapy was performed when the vital signs were stable, and no progress of neurological signs, natural recovery group was routinely treated. Test as a measure of the standard use of drinking water：5 seconds with warm water to drink without choking 30 ml was normal, compared with the previous assessment to improve drinking water test I〉2 differential compliance for clinical efficacy. Results Recent tests of drinking water rehabilitation group was 60% back to normal, natural recovery group was 38.5% , clinical compliance rate was 73.33% and 53.85% respectively, the recent restoration of the normal rate of drinking water testing and compliance rates of clinical compliance rate was significant difference （ P 〈 0.05 ）. Conclusion MRP of the intervention had significant effect on functional recovery after stroke dysphagia.

关 键 词：运动再学习法 脑卒中 吞咽障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]