综合康复治疗对脑卒中后重度吞咽功能障碍患者吞咽功能及吞咽X线电视透视检查评分的影响  

Effect of Comprehensive Rehabilitation Treatment on Swallowing Function and Swallowing X-ray Television Fluoroscopy Score of Patients with Severe Swallowing Dysfunction after Stroke

作　　者：覃佩 TAN Pei(Department of Rehabilitation and Treatment,Hunan People’s Hospital,Changsha Hunan,410005,China)

机构地区：[1]湖南省人民医院康复治疗科,湖南长沙410005

出　　处：《黑龙江医学》2022年第16期1997-1999,共3页Heilongjiang Medical Journal

摘　　要：目的:分析综合康复治疗对脑卒中后重度吞咽功能障碍患者吞咽功能及吞咽X线电视透视检查评分的影响。方法:选取2019年9月—2020年12月湖南省人民医院收治的178例脑卒中患者作为研究对象,采用随机分组法分为实验组和对照组,每组各89例。对照组患者接受常规治疗改善微循环及营养神经,实验组患者接受吞咽功能训练、饮食训练、声门闭合训练、屏气训练等综合康复治疗,对比两组患者的治疗效果、吞咽X线电视透视检查评分 (VFSS)、治疗后血清白蛋白、血红蛋白、淋巴细胞计数以及治疗满意度。结果:实验组患者治疗总有效率为 89.89%,显著高于对照组患者的76.40%,差异有统计学意义 (χ^(2)=5.773,P<0.05)。实验组患者 VFSS 评分为 (6.07±0.44) 分,显著高于对照组患者的(5.58±0.23) 分,差异有统计学意义 (t=6.979,P<0.05)。实验组患者血清白蛋白为 (35.98±2.47) g/L、血红蛋白为(130.02±10.67) g/L、淋巴细胞为 (2.52±0.74) ×10^(9)/L,高于对照组患者的 (32.34±1.59) g/L、(122.41±10.40) g/L、(1.39±0.86)×10^(9)/L,差异有统计学意义 (t=8.762、3.611、7.043,P<0.05)。实验组患者治疗总满意度为93.26%,高于对照组患者的79.77%,差异有统计学意义 (χ^(2)=6.935,P<0.05)。结论:综合康复治疗对脑卒中患者的治疗效果显著,可进一步改善吞咽困难患者的症状,提升治疗满意度,值得被临床应用。Objective: To analyze the influence of comprehensive rehabilitation treatment on swallowing function and swallowing X- ray television fluoroscopy score in patients with severe swallowing dysfunction after stroke. Methods: A total of 178 stroke patients in the hospital from September 2019 to December 2020 were selected as the research objects, and randomly divided into the experimental group and the control group, with 89 cases in each group. The patients in the control group received conventional treatment to improve microcirculation and nutritional nerve, while the patients in the experimental group received comprehensive rehabilitation therapy such as swallowing function training, diet training, glottis closure training, and breath-holding training. The treatment effect, swallowing X-ray video fluoroscopy score (VFSS), serum albumin, hemoglobin, lymphocyte count and treatment satisfaction were compared between the two groups. Results: The total effective rate of patients in the experimental group was 89.89%, which was significantly higher than 76.40% in the control group, and the difference was statistically significant (χ^(2)=5.773P<0.05). The VFSS score of the experimental group was (6.07±0.44) points, which was significantly higher than (5.58±0.23) points of the control group, and the difference was statistically significant (t=6.979, P<0.05). The serum albumin of the experimental group was (35.98±2.47) g/L, the hemoglobin was (130.02±10.67) g/L, and the lymphocyte was (2.52±0.74)×10^(9)/L, which was higher than (32.34±1.59) g/L, (122.41±10.40) g/L, (1.39±0.86)×10^(9)/L of the control group, the differences were statistically significant (t=8.762, 3.611, 7.043, P<0.05). The total satisfaction rate of patients in the experimental group was 93.26%, which was higher than79.77% in the control group, and the difference was statistically significant (χ^(2)=6.935, P<0.05). Conclusion: Comprehensive rehabilitation therapy is effective in treating stroke patients, and it can further improve the symptoms o

关 键 词：脑卒中 综合康复治疗 吞咽功能障碍 吞咽X线电视透视检查 治疗效果 

分 类 号：R493[医药卫生—康复医学]