脑卒中后吞咽障碍的认知训练治疗  

Effect of cognitive training treatment in post-stroke dysphagia

作　　者：张会[1] 王海合[1] 赵迪[1] 

机构地区：[1]新乡市第一人民医院神经内科,河南新乡453000

出　　处：《中国实用神经疾病杂志》2017年第18期50-52,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析脑卒中后吞咽障碍的认知训练治疗效果。方法以2014-01—2017-03新乡市第一人民医院收治的82例脑卒中后吞咽障碍患者为研究对象,根据随机数字表法分为对照组和观察组,其中对照组仅应用常规康复训练治疗,而观察组在康复训练时增加认知训练治疗,经过3个月、6个月、9个月、12个月治疗后,评价2组MMSE、ADL评分情况。结果治疗后,观察组3个月、6个月、9个月、12个月的MMSE和ADL评分明显优于对照组,2组对比差异有统计学意义(P<0.05)。结论脑卒中吞咽障碍患者常规康复训练过程中增加认知训练后,可以明显改善患者的认知功能,使患者病情进展得到有效控制,从而提高患者的生活质量,值得推广应用。Objective To analyze effect of cognitive training treatment in post-stroke dysphagia.Methods 82 patients with post-stroke dysphagia in our hospital from January 2014 to March 2017 were randomly enrolled as study members.According to the random number table method,the patients were divided into two groups:control group and observation group.The control group was treated with routine rehabilitation training,while the observation group was treated with additional cognitive training after rehabilitation training.After 3months,6months,9months and 12 months of treatment,the MMSE and ADL scores in the two groups were evaluated.Results After treatment of 3months,6months,9months and 12 months,the MMSE and ADL scores of the observation group were significantly better than those of the control group after(P<0.05).Conclusion In the process of routine rehabilitation training,additional cognitive training can significantly improve the clinical neurological symptoms,help to control the disease progression and increase the life quality in patients with post-stroke dysphagia.It is worthy of popularization and application.

关 键 词：脑卒中 吞咽障碍 认知训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]