运动再学习法在脑梗死所致吞咽障碍康复中的应用研究  

Application Study on Motor Relearning Program in Dysphagia Rehabilitation after Acute Cerebral Infarction

作　　者：郭志强 赵爱娥[2] 王燕红 黄意珠 邓佳 

机构地区：[1]深圳市福田区中医院,广东深圳518038 [2]北京大学深圳医院超声影像科,广东深圳518036

出　　处：《医学综述》2013年第15期2868-2870,共3页Medical Recapitulate

摘　　要：目的探讨运动再学习法改善脑梗死所致吞咽障碍的可行性。方法选取2007年1月至2012年1月深圳市福田区中医院收治的脑梗死所致吞咽障碍患者64例,采用简单随机法分为对照组和试验组,分别采用常规药物治疗和常规药物治疗加运动再学习法,于治疗后1、2、4、6个月时应用藤岛一郎吞咽疗效评价标准评价治疗效果。结果在试验开始后的1、2个月时,两组的藤岛一郎吞咽障碍评分和两组的总有效率比较差异均无统计学意义(P>0.05);4、6个月时,两组的藤岛一郎吞咽障碍评分和两组的总有效率比较差异均有统计学意义(P<0.05)。结论在常规药物治疗的基础上,联合开展运动再学习法有利于脑梗死所致吞咽障碍的康复。Objective To explore the feasibility of motor relearning program in dysphagia rehabilitation after acute cerebral infarction.Methods Sixty-four cases of dysphagia after acute cerebral infarction of Futian District Chinese Medicine Hospital in Shenzhen from January 2007 to January 2012 were selected,and divided randomly into control group（group A） and experimental group（group B）,group A used conventional pharmacological treatment,group B used conventional pharmacological treatment and the motor relearning program,and Toshima Ichiro swallowing efficiency scores was applied for evaluation of the treatment at 1,2,4,6 months of treatment respectively.Results After 1 and 2 months of the treatment,there was no statistically significant difference in both Toshima Ichiro swallowing efficiency scores and total effective rate between the two groups（P 0.05）;while there was statistically significant difference in both Toshima Ichiro swallowing efficiency scores and total effective rate between the two groups（P 0.05） after 4 and 6 months of the treatment.Conclusion Motor relearning program based on conventional pharmaceutical treatment is good for dysphagia rehabilitation after acute cerebral infarction.

关 键 词：运动再学习法 脑梗死 吞咽障碍 

分 类 号：R493[医药卫生—康复医学]