早期综合康复治疗对脑卒中后吞咽障碍的临床研究  

A Preliminary Study on the Curative Effect of Electric Pulse with Swallowing Training on Dysphagia

作　　者：周夫瑞[1] 

机构地区：[1]徐州医学院附属医院康复医学科,江苏省徐州市221002

出　　处：《医学理论与实践》2012年第20期2470-2471,2482,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨吞咽训练结合脉冲电治疗脑卒中后吞咽障碍的影响。方法:86例脑卒中后吞咽困难患者纳入研究,分为吞咽训练结合脉冲电干预的治疗组及传统吞咽训练的对照组,疗程结束后进行疗效、吞咽评分评定。结果:治疗组总有效率为88.37%,优于对照组的72.09%,差异具有统计学意义(P<0.05)。治疗后,与对照组比较,在吞咽功能评分上治疗组下降明显,具有显著性差异(P<0.01)。经过治疗后,治疗组出现吸入性肺炎者6例,对照组发生15例,治疗组的吸入性肺炎发生率低于对照组,具有显著性差异(P<0.01)。结论:吞咽训练结合脉冲电治疗可有效提高脑卒中后吞咽困难总有效率,不仅临床疗效明显,而且可有效降低吸入性肺炎的发生。Objective：To observe the effect of Electric pulse with swallowing training on dysphagia.Methods：86 patients with dysphagia were divided into Electric pulse with swallowing treatment group and control group.All patients were evaluated with swallowing after the treatment.Results：The total effective rate of treatment group is 88.37% more than 72.09% of control group,the difference was statistically significant（P0.05）.After treatment,compared with the control group,in the swallowing score decreased significantly on the treatment group,with significant differences（P0.01）.The treatment group of aspiration pneumonia in 6 cases,the control group took place in 15 cases,the treatment group the incidence of aspiration pneumonia in lower than in the control group,with significant difference（P0.01）.Conclusion：The Electric pulse with swallowing training treatment combined with swallowing training has obvious therapeutic effect on dysphagia after cerebral infarction and is worthspreading in clinical application.

关 键 词：脑卒中 吞咽困难 早期康复治疗 临床疗效 

分 类 号：R493[医药卫生—康复医学]