【摘要】 目的探讨吞咽功能障碍对脑卒中患者预后的影响,及针对性治疗对吞咽功能障碍和患者预后的改善作用。方法收集40例伴吞咽功能障碍的脑卒中患者,采用洼田式的饮水试验进行吞咽能力评估,对比不同级别患者的预后;将40例患者分为实验组和对照组,实验组采用针对性的治疗,对比2组患者吞咽功能改善及预后情况。结果吞咽功能障碍级别越高的患者预后较差,且差异具有统计学意义(P<0.05),使用针对性治疗后,实验组患者吞咽功能改善有效率95%,明显高于对照组65%,差异具有统计学意义(P<0.05),实验组患者预后优于对照组,差异具有统计学意义(P<0.05)。结论吞咽功能障碍对脑卒中患者预后有明显影响,针对吞咽功能障碍的治疗能改善脑卒中患者吞咽功能,对脑卒中患者的预后有较好改善作用。更多还原

【Abstract】 Objective To investigate the improvement of the swallowing dysfunction on the prognosis of patients with stroke and the effect of targeted treatment for swallowing dysfunction.Methods Totally 40 patients with swallowing dysfunction in patients with stroke were selected,drinking water experiment was used to assess the swallowing dysfunction,and the prognosis of patients with different levels swallowing dysfunction was compared.All the 40 patients were divided into experimental group and control group,targeted treatment was used in experimental group,and the improvement of swallowing function and prognosis of two groups were compared.Results The patients with worse swallowing functionhad poor prognosis,and the difference was statistically significant.After targeted therapies,the efficiency of the improvement of swallowing function in the experimental group was 95%,which was significantly higher than that of control group(65%),and the prognosis of experimental group was better than control group,the difference was statistically significant.Conclusion Swallowing dysfunction has a significant impact on the prognosis of patients with stroke.Targeted treatment for swallowing dysfunction can improve swallowing dysfunction,and has better effect to the prognosis of stroke patients.更多还原