吞咽功能障碍治疗仪对脑梗死吞咽功能障碍的治疗效果  

Effects of swallowing disorder cure instrument on the cerebral infarction patients with swallowing disorder

作　　者：张月荣[1] 刘铤[1] 刘亚红[1] 陈茂刚[1] 邓芸 陶秀 

机构地区：[1]南京大学临床医院南京军区南京总医院神经内科,210002 [2]45病区 [3]江苏省盐城市第一人民医院护理部,224001

出　　处：《中华现代护理杂志》2012年第9期1028-1031,共4页Chinese Journal of Modern Nursing

摘　　要：目的观察吞咽功能障碍治疗仪治疗脑梗死合并吞咽障碍的效果。方法将70例脑梗死合并球麻痹所致吞咽障碍患者按随机数字表法随机分为对照组和治疗组各35例，两组均给予常规的吞咽功能康复训练、直接摄食训练、心理暗示等治疗，而治疗组在此基础上再加用吞咽功能障碍治疗仪实施治疗，比较两组治疗效果。结果治疗前两组患者吞咽能力评分、洼田饮水评分比较差异无统计学意义（P〉0．05）；治疗后治疗组吞咽能力评分情况为1分15例（42．9％），2分10例（28．6％），3分6例（17．1％），4分4例（11．4％），与对照组比较差异有统计学意义（Z=-2．159，P〈0．05）；治疗后两组洼田饮水评分比较差异有统计学意义（P〈0．05）；治疗总有效率比较治疗组（88．6％）高于对照组（65．7％），差异有统计学意义（Z=-2．351，P〈0．05）。结论吞咽功能障碍治疗仪对脑梗死合并球麻痹有显著疗效，而且安全、方便、无痛苦。Objective To study the effects of swallowing disorder cure instrument on the cerebral infarction patients with swallowing disorder. Methods Seventy cerebral infarction patients with dysphagia by ischemic stroke-cansed were recruited and randomly divided into the treatment group （ n = 35 ） and the control group（ n = 35 ）. Both groups received regular rehabilitation training of swallowing funtction, ingestion training and psychological treatments. Besides,patients in the treatment group were also assigned to receive the therapy of swallowing disorder cure instrument, then , the effects were observed and compared . Results Before treatment, no difference was detected between two groups in the general clinical data, swallowing function score and WaTian drinking score （ P 〉 0. 05 ）. After treatment, the situation of swallowing function score in treatment group was that 15 cases got 1 , 10 cases got 2,6 cases got 3 and 4 cases got 4, the difference between the treatment group and the control group was statistically significant（Z = -2. 159,P 〈0. 05）. There was significant difference in the Watian drinking score in two groups （P 〈 0. 05）. The effective rate of the treatment group was 88.6% which was significantly higher than 65.7% of the control group（Z = - 2. 351, P 〈0. 05）. Conclusions The therapy of swallowing disorder cure ins.trument has a significant effect on the cerebral infarction patients with swallowing disorder, which is safe, convenient and with less pain.

关 键 词：脑梗死 吞咽障碍 吞咽障碍功能治疗仪 吞咽训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]