CAJ | 학술논문

目的观察吞咽功能障碍治疗仪治疗脑梗死合并吞咽障碍的效果.方法将70例脑梗死合并球麻痹所致吞咽障碍患者按随机数字表法随机分为对照组和治疗组各35例,两组均给予常规的吞咽功能康复训练、直接摄食训练、心理暗示等治疗,而治疗组在此基础上再加用吞咽功能障碍治疗仪实施治疗,比较两组治疗效果.结果治疗前两组患者吞咽能力评分、洼田饮水评分比较差异无统计学意义(P＞0.05)；治疗后治疗组吞咽能力评分情况为1分15例(42.9％),2分10例(28.6％),3分6例(17.1％),4分4例(11.4％),与对照组比较差异有统计学意义(Z=-2.159,P＜0.05)；治疗后两组洼田饮水评分比较差异有统计学意义(P＜0.05)；治疗总有效率比较治疗组(88.6％)高于对照组(65.7％),差异有统计学意义(Z=-2.351,P＜0.05).结论吞咽功能障碍治疗仪对脑梗死合并球麻痹有显著疗效,而且安全、方便、无痛苦.
목적 관찰탄인공능장애치료의치료뇌경사합병탄인장애적효과.방법 장70례뇌경사합병구마비소치탄인장애환자안수궤수자표법수궤분위대조조화치료조각35례,량조균급여상규적탄인공능강복훈련、직접섭식훈련、심리암시등치료,이치료조재차기출상재가용탄인공능장애치료의실시치료,비교량조치료효과.결과 치료전량조환자탄인능력평분、와전음수평분비교차이무통계학의의(P＞0.05)；치료후치료조탄인능력평분정황위1분15례(42.9％),2분10례(28.6％),3분6례(17.1％),4분4례(11.4％),여대조조비교차이유통계학의의(Z=-2.159,P＜0.05)；치료후량조와전음수평분비교차이유통계학의의(P＜0.05)；치료총유효솔비교치료조(88.6％)고우대조조(65.7％),차이유통계학의의(Z=-2.351,P＜0.05).결론 탄인공능장애치료의대뇌경사합병구마비유현저료효,이차안전、방편、무통고.
Objective To study the effects of swallowing disorder cure instrument on the cerebral infarction patients with swallowing disorder.Methods Seventy cerebral infarction patients with dysphagia by ischemic stroke-caused were recruited and randomly divided into the treatment group ( n =35 ) and the eontrol group( n =35 ).Both groups received regular rehabilitation training of swallowing funtction,ingestion training and psychological treatments.Besides,patients in the treatment group were also assigned to receive the therapy of swallowing disorder cure instrument,then,the effects were observed and compared.Results Before treatment,no difference was detected between two groups in the general clinical data,swallowing function score and WaTian drinking score (P ＞ 0.05 ).Mter treatment,the situation of swallowing function score in treatment group was that 15 cases got 1,10 eases got 2,6 cases got 3 and 4 cases got 4,the difference between the treatment group and the control group was statistically significant( Z =-2.159,P ＜ 0.05 ).There was significant difference in the Watian drinking score in two groups ( P ＜ 0.05 ).The effective rate of the treatment group was 88.6％ which was significantly higher than 65.7％ of the control group(Z =-2.351,P ＜0.05).Conclusions The therapy of swallowing disorder cure instrument has a significant effect on the cerebral infarction patients with swallowing disorder,which is safe,convenient and with less pain.