早期综合性吞咽训练对改善急性脑梗死后吞咽障碍的临床研究  

Clinical study of early comprehensive swallowing training in improving dysphagia caused by acute cerebral infarction

作　　者：何德深[1,2] 梁炳松[1,2] 李育英[1,2] 张岐平 李健[1,2] 

机构地区：[1]广西医科大学第七附属医院 [2]广西梧州市工人医院神经内科,543001

出　　处：《中国实用医药》2014年第28期3-4,共2页China Practical Medicine

基　　金：2013年广西梧州市科学研究与技术开发计划项目(项目编号:201302064)

摘　　要：目的探讨早期综合性吞咽训练对改善急性脑梗死后吞咽障碍的疗效。方法 84例急性脑梗死后吞咽障碍患者,随机分为治疗组和对照组,每组42例。治疗组采取常规治疗联合早期综合性吞咽训练;对照组给予常规治疗方法。1个月后观察疗效。结果治疗组经1个月的早期综合性吞咽训练,吞咽功能明显改善,高于对照组,差异有统计学意义(P<0.05)。治疗组总有效率90.5%,明显高于对照组71.4%(P<0.05)。结论早期综合性吞咽训练对改善急性脑梗死后吞咽障碍具有明显的促进作用,可推广应用。Objective To investigate the curative effect of early comprehensive swallowing training in improving dysphagia caused by acute cerebral infarction. Methods A total of 84 cases of dysphagia caused by acute cerebral infarction were randomly divided into treatment group and control group, and each group contained 42 cases. The control group was treated by conventional treatment, and the treatment group received additional early comprehensive swallowing training. The treatment lasted for 1 month. Results After 1-month treatment with early comprehensive swallowing training, swallowing function of patients in the treatment group was improved and also higher than the control group. The differences were statistically significant（P〈0.05）. The total effective rate of treatment group was 90.5%, which was obviously higher than 71.4% of the control group（P〈0.05）. Conclusion Early comprehensive swallowing training can provide obvious promotion for dysphagia caused by acute cerebral infarction, and it is worthy of promotion and application.

关 键 词：综合性吞咽训练 急性脑梗死 吞咽障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]