高压氧联合吞咽功能训练治疗脑卒中后吞咽困难  

Effect of hyperbaric oxygen combined with swallowing function training on dysphagia following stroke

作　　者：刘敏[1] 于元英[1] 初悦美[1] 

机构地区：[1]海阳市人民医院神经内科,山东海阳265100

出　　处：《中国康复》2012年第3期169-170,共2页Chinese Journal of Rehabilitation

摘　　要：目的:观察高压氧联合吞咽功能训练治疗脑卒中后吞咽困难的临床疗效。方法:脑卒中伴吞咽困难90例,随机分为2组各45例,均接受脑卒中常规治疗及吞咽功能训练,联合组加用高压氧治疗,观察2组患者治疗前后吞咽功能情况及吸入性肺炎发生情况。结果:治疗1个月后,联合组总有效率明显高于对照组(92.3%、71.1%,P<0.05);联合组吸入性肺炎的发生率明显低于对照组(6.7%、22.2%,P<0.05)。结论:高压氧联合康复治疗对脑卒中后吞咽困难具有更好的康复治疗效果,并可有效防止患者吸入性肺炎的发生。Objective： To observe the clinical effect of hyperbaric oxygen combined with swallowing function train- ing on dysphagia following stroke. Methods： 90 stroke subjects with dysphagia were randomly divided into two groups, 45 cases in every group. The two groups both received conventional treatment and swallowing function training, and combined group received hyperbaric oxygen in addition. Swallowing function and aspiration pneumonia were observed before and after the treatment. Results： After a month of treatment,the total effective rate in com- bined group was significantly higher than in control group （92.3 % vs. 71.1 %, P〈0.05）. The incidence of aspiration pneumonia in combined group was significantly lower than in control group （6.7% vs. 22.2%, P〈0.05）. Conclusion： Hyperbaric oxygen combined with rehabilitation treatment for dysphagia following stroke was effective, and can effectively prevent the aspiration pneumonia.

关 键 词：高压氧 吞咽功能训练 脑卒中后吞咽困难 

分 类 号：R743.3[医药卫生—神经病学与精神病学]