【摘要】 目的探讨脑卒中后吞咽障碍康复治疗的疗效。方法31例脑卒中后吞咽障碍患者随机分为康复治疗组(17例)和对照组(14例)。两组患者脑卒中基础治疗相同,治疗组同时进行早期吞咽康复治疗,每日3次,连续3周。采用吞咽X线透视检查法(VFSS)对两组患者治疗前后吞咽障碍进行评分,并检查血钠、钾、白蛋白水平及吸入性肺炎发生情况。结果治疗组治疗后VFSS评分(7.2±2.1)比治疗前(4.0±1.9)及对照组(4.7±2.1)明显提高(均P<0.01);吞咽障碍恢复13例(76.5%),明显高于对照组(2例,14.3%)(P<0.01)。治疗组和对照组治疗前后血钠、钾、白蛋白含量及吸入性肺炎发生率的差异无显著性(均P>0.05)。结论吞咽障碍康复治疗对于脑卒中后吞咽障碍有明显疗效。更多还原

【Abstract】 Objective To study the effect of rehabilitation in stroke patients with dysphagia. Methods 31 cases with dysphagia were randomly divided into rehabilitation group (17 cases) and control group (14 cases). Two groups were given same basic therapy on the whole, while the early rehabilitation was performed on the patients in rehabilitation group three times a day for 3 weeks. We compared assessment score of dysphagia by VFSS (videofluoroscopic swallowing study), and observed serum potassium, sodium, albumin levels and the incidence of inhalation-pneumonia in two groups before and after treatment. Results VFSS score (7.2±2.1) of rehabilitation group was markedly higher than before treatment (4.0±1.9) and control group (4.7±2.1)(all P<0.01). 13 cases (76.5%) in rehabilitation group recovered, which was significantly higher than that in control group (2 cases, 14.3%)( P<0.01). The serum potassium, sodium, albumin levels and the incidence of inhalation-pneumonia showed no significant difference in two groups before and after treatment (all P>0.05).Conclusions Rehabilitation has a remarkable effect on stroke patients with dysphagia.更多还原