脑卒中后假性球麻痹致吞咽障碍治疗进展  

Progress in the Treatment of Dysphagia Caused by Pseudobular Palsy after Stroke

作　　者：曹芳 杨春林[2] 李妍怡[2] 桑雯霞 CAO Fang;YANG Chunlin;LI Yanyi;SANG Wenxia(Gansu University of Traditional Chinese Medicine,Gansu Lanzhou 730000,China;Gansu Provincial Hospital of Traditional Chinese Medicine,Gansu Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃省中医院,甘肃兰州730000

出　　处：《中医药临床杂志》2020年第9期1614-1618,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：甘肃省李妍怡全国名老中医传承工作室建设项目(国中医药人教发[2014]20号);甘肃省中医院脑病科为国家临床重点专科、国家中医药管理局中医药重点专科专病。

摘　　要：脑卒中后假性球麻痹致吞咽障碍发生率高、并发症多,临床上若能够全面评估患者病情,及时诊断并选择合适的治疗方案,可避免并发症的发生。作者对近年来从口腔康复训练、物理治疗、代偿方法、营养管理、手术治疗等方面,对中风后吞咽障碍的治疗进展进行综述归纳分析。认为该病的早期诊断至关重要,尽早关注患者吞咽功能,并采取中西医众多综合方法治疗,标本兼顾,有助于防止并发症的发生、帮助患者恢复吞咽功能及提高生活质量。Post-stroke pseudobulbar palsy has a high incidence of dysphagia and many complications.Clinically,if the patient’s condition can be fully evaluated,timely diagnosis and appropriate treatment options can be selected to avoid complications.The author summarized and analyzed the progress in the treatment of post-stroke swallowing disorders in recent years from oral rehabilitation training,physical therapy,compensation methods,nutrition management,and surgical treatment.It is believed that the early diagnosis of the disease is very important,pay attention to the patient’s swallowing function as early as possible,and adopt many comprehensive methods of Chinese and Western medicine to treat,and the specimens are taken into consideration,which can help prevent complications,help patients restore swallowing function and improve the quality of life.

关 键 词：脑卒中 假性球麻痹 吞咽障碍 治疗进展 

分 类 号：R255.2[医药卫生—中医内科学]