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早期吞咽摄食训练干预伴吞咽困难的急性脑卒中53例报告

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【摘要】 目的观察急性脑卒中患者吞咽困难的康复治疗效果。方法急性脑卒中吞咽功能障碍患者104例,随机分为训练组和对照组,训练组53例、对照组51例。所有患者接受脑卒中常规治疗和护理,训练组同时接受康复训练。对照组仅予常规治疗和护理。观察吸入性肺炎、吞咽困难恢复情况。结果训练组第1、2周与出院时吞咽困难康复总有效率以及吸入性肺炎发生率分别为66.04%、79.25%、88.68%与9.43%,与对照组(分别为45.10%、58.82%、72.55%与25.49%)比较差异有统计学意义(P<0.05)。结论对急性脑卒中后吞咽障碍患者进行早期康复训练具有明显效果。

【Abstract】 Objective To observe the effect of rehabilitative training treating dysphagia of patients with acute stroke. Methods 104 patients with acute stroke were divided into groups randomly, rehabilitative training group 53 patients and control group 51 patients. all the patients underwent routine therapy nursing for stroke ,and additionally the rehabilitative training group was treated with rehabilitative training. The recovery of dysphagia and the incidence of aspiration pneumonia were observed. Results The effective rate of dysphagia in first and second week, discharge time and the incidence of aspiration pneumonia in rehabilitative training group was 66.04%、79.25%、88.68% and 9.43% nespctinely, compared with those in control group(45.10%、58.82%、72.55% and 25.49% nespctinely),the difference was statistically significant(P<0.05). Conclusion Early rehabilitative training is effective on dysphagia for patients with acute stroke.

  • 【文献出处】 浙江临床医学 ,Zhejiang Clinical Medical Journal , 编辑部邮箱 ,2006年06期
  • 【分类号】R743.3
  • 【被引频次】1
  • 【下载频次】149
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