脑卒中合并吞咽功能障碍患者康复治疗的临床探讨  

Clinical Study on Rehabilitation of Stroke Patients with Swallowing Dysfunction

作　　者：俞晓蓉[1] 开邵江 李军荣[1] YU Xiao-rong;KAI Shao-jiang;LI Jun-rong(Department of Neurology,Jiangning Hospital,Nanjing,Jiangsu Province,211100 China)

机构地区：[1]江苏省南京市江宁医院神经内科,江苏南京211100

出　　处：《中外医疗》2018年第29期62-64,共3页China & Foreign Medical Treatment

摘　　要：目的探究脑卒中合并吞咽功能障碍患者康复治疗的临床效果。方法该次研究的病例样本分析对象为方便选取2017年5月—2018年2月在该院接受治疗的92例脑卒中合并吞咽功能障碍的患者,以治疗方法的异同为划分标准将其分为4组,分别为对照组、理疗组、手法组及综合治疗组。对照组患者接受常规护理药物治疗,理疗组患者接受单纯低频电康复治疗,手法组患者接受冰刺激及空吞咽治疗,综合治疗组患者接受低频电、冰刺激及空吞咽联合治疗,观察四组患者的康复治疗效果。结果对照组、理疗组、手法组及综合治疗组的治疗有效率分别为47.83%、86.95%、86.95%、95.65%,洼田饮水试验结果与该结果趋势相同,两项结果皆为综合治疗组最优,理疗组与手法组疗效相当,对照组效果最差,综合治疗组与其余3组之间比较、理疗组与手法组与对照组之间比较差异有统计学意义(P<0.05),理疗组与手法组之间比较差异无统计学意义(P>0.05)。结论给予脑卒中合并吞咽功能障碍患者低频电、冰刺激及空吞咽康复治疗有利于患者吞咽功能的恢复,具有显著的效果,值得临床应用于推广。Objective To investigate the clinical effects of rehabilitation therapy in stroke patients with swallowing dysfunction.Methods The case samples of this study were convenient selected and analyzed for 92 case stroke patients with swallowing dysfunction who were treated in the hospital from May 2017 to February 2018.The differences in treatment methods were divided into four groups.The control group,the physiotherapy group,the manipulation group and the comprehensive treatment group.The patients in the control group received conventional nursing medication.The patients in the physiotherapy group received simple low-frequency electrical rehabilitation.The patients in the treatment group received ice stimulation and empty swallowing.The patients in the comprehensive treatment group received low-frequency electricity,ice stimulation and air-swallowing combined treatment.Rehabilitation effect of the four groups of patients were observed.Results The effective rates of treatment in the control group,physiotherapy group,manual group and comprehensive treatment group were 47.83%,86.95%,86.95%and 95.65%,respectively.The results of Putian drinking water test were the same.The comprehensive treatment group was optimal,the physiotherapy group and the manipulation group were equally effective,and the control group had the worst effect.There was statistically significant difference between the physiotherapy group and the tactical group and the control group(P<0.05).There was no significant difference between the physiotherapy group and the manipulation group(P>0.05).Conclusion Low-frequency electric,ice stimulation and empty swallowing rehabilitation for patients with stroke and swallowing dysfunction are beneficial to the recovery of swallowing function.It has significant effect and is worthy of clinical application.

关 键 词：脑卒中合并吞咽功能障碍 康复治疗 临床效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]