脑卒中后真性球麻痹咽期吞咽障碍的治疗研究进展  

Research Progress on Treatment of Dysphagia during Pharyngeal Phase of True Bulbar Palsy after Ischemic Stroke

作　　者：王瑞仙 毛忠南 王瑞瑞 WANG Rui-xian;MAO Zhong-nan;WANG Rui-rui(Gansu University of Chinese Medicine,Lanzhou,Gansu 730000;Affiliated Hospital of Gansu University of Chinese Medicine,Lanzhou,Gansu 730000)

机构地区：[1]甘肃中医药大学,甘肃兰州730000 [2]甘肃中医药大学附属医院,甘肃兰州730000

出　　处：《按摩与康复医学》2021年第19期62-64,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：2019年甘肃省重点人才项目,编号:甘组通字[2019]39号;甘肃省中医药管理局科研立项课题,编号:GZK-2017-19。

摘　　要：真性球麻痹是脑干梗死常见并发症之一,吞咽障碍是其最严重的表现之一。延髓梗死后,由延髓支配的咽、喉、腭及舌的肌肉麻痹瘫痪、萎缩,咽反射减弱或消失,极易引起误吸、咽部残留,导致吸入性肺炎,加重病情。其防治已成为临床研究热点。本文通过分析相关文献,从中西医等不同治疗方面对该领域的治疗研究进展进行综述。True bulbar palsy is one of the common complications of brainstem infarction,and dysphagia is one of its most serious manifestations.After bulbar infarction,the muscles of the pharynx,larynx,palate,and tongue innervated by the medulla oblongata are paralyzed and atrophy,and the pharyngeal reflex is weakened or disappeared,which can easily cause aspiration and residual pharynx,leading to aspiration pneumonia and aggravating the condition.Its prevention has become a hot topic in clinical research.This article analyzes the relevant literature and reviews the treatment research progress in this field from different treatment aspects such as Chinese and Western medicine.

关 键 词：脑卒中 真性球麻痹 吞咽障碍 咽期 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]