脑卒中吞咽障碍的康复结局影响因素研究  

作　　者：李敏 李胜活[2] 张朝霞 王璇[2] 谢晓娜 

机构地区：[1]广东省广州市海珠区第一人民医院,510220 [2]广州医学院附属第二医院

出　　处：《当代医学》2013年第6期156-157,共2页Contemporary Medicine

摘　　要：目的探讨脑卒中吞咽障碍的康复结局影响因素。方法选取广州市海珠区第一人民医院内科及广州医学院附属第二医院康复科2008年7月～2011年7月收治的吞咽障碍患者100例,对其实施摄食训练、基础训练。疗程共4周。4周时,按照吞咽障碍的程度分级,并将其分为两组,即预后良好组与预后不良组,分析脑卒中吞咽障碍的康复结局影响因素。结果 100例吞咽障碍患者中78例预后良好,占77.56%。单因素分析表明,吞咽障碍的康复结局影响因素为:严重程度、认知障碍、合作与否、慢性支气管炎感染、感觉性失语、视听觉障碍、康复介入时间。结论针对脑卒中吞咽障碍患者,治疗师、康复医师必须客观性、全面性评价患者情况,制定合理、科学的康复计划,以对其预后进行判断。Objective To investigate the influencing factors of rehabilitation outcome of clinical dysphagia after stroke. Methods 100 cases with deglutition disorder from July 2008 to July 2011 were chosen, ingestion training and basic training were implemented. In 4 weeks, according to the classification of severity of dysphagia, and divided into two groups, the Logistic regression analysis were used to analyze influencing factors of rehabilitation outcome of dysphagia stroke. Results 78 cases had good prognosis, accounting for 77.56%. Univariate analysis showed that, influence factors of dysphagia rehabilitation outcome were severity,cognitive impairment,cooperation or not,chronic windpipeitis infection,sensory loss, vision and hearing disorders and the time of rehabilitation intervention. Conclusion For stroke patients with dysphagia,therapists,rehabilitation doctor must be objective,comprehensive evaluation of the patients, and take rational,scientific rehabilitation program,to judge the prognosis of the patients.

关 键 词：脑卒中 吞咽障碍 康复结局 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]