中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
5期
773-774
,共2页
脑卒中%康复治疗%吞咽言语治疗仪%吞咽障碍
腦卒中%康複治療%吞嚥言語治療儀%吞嚥障礙
뇌졸중%강복치료%탄인언어치료의%탄인장애
Stroke%Rehabilitation%Swallowing and speech therapy instrument%Dysphagia
目的：：探讨联合多种康复治疗在早期脑卒中后真性球麻痹患者吞咽障碍中的治疗效果。方法：收集我院脑卒中真性球麻痹吞咽困难患者72例，随机分为对照组和治疗组。采用洼田饮水试验进行吞咽障碍评定。对照组采用常规脑卒中药物治疗。治疗组除卒中药物治疗外，采用吞咽言语治疗仪联合吞咽功能训练的综合治疗。分别随诊饮水试验改善情况，生活质量评分情况，入院期间肺部感染发生率，平均住院时间等。结果：治疗2周后，治疗组与对照组相比洼田饮水试验改善率有显著性差异(P<0.01)。两者肺炎发生率比较具有统计学差异(P<0.01)。治疗组与对照组比较可大大缩短住院时间(P<0.01)。3个月随诊两组间mRS评分有显著差异(P<0.05)。结论：对早期脑卒中真性球麻痹引起吞咽困难患者进行综合康复治疗，可有效提高患者吞咽功能，生活质量，减少肺炎发生，缩短入院治疗时间。
目的：：探討聯閤多種康複治療在早期腦卒中後真性毬痳痺患者吞嚥障礙中的治療效果。方法：收集我院腦卒中真性毬痳痺吞嚥睏難患者72例，隨機分為對照組和治療組。採用窪田飲水試驗進行吞嚥障礙評定。對照組採用常規腦卒中藥物治療。治療組除卒中藥物治療外，採用吞嚥言語治療儀聯閤吞嚥功能訓練的綜閤治療。分彆隨診飲水試驗改善情況，生活質量評分情況，入院期間肺部感染髮生率，平均住院時間等。結果：治療2週後，治療組與對照組相比窪田飲水試驗改善率有顯著性差異(P<0.01)。兩者肺炎髮生率比較具有統計學差異(P<0.01)。治療組與對照組比較可大大縮短住院時間(P<0.01)。3箇月隨診兩組間mRS評分有顯著差異(P<0.05)。結論：對早期腦卒中真性毬痳痺引起吞嚥睏難患者進行綜閤康複治療，可有效提高患者吞嚥功能，生活質量，減少肺炎髮生，縮短入院治療時間。
목적：：탐토연합다충강복치료재조기뇌졸중후진성구마비환자탄인장애중적치료효과。방법：수집아원뇌졸중진성구마비탄인곤난환자72례，수궤분위대조조화치료조。채용와전음수시험진행탄인장애평정。대조조채용상규뇌졸중약물치료。치료조제졸중약물치료외，채용탄인언어치료의연합탄인공능훈련적종합치료。분별수진음수시험개선정황，생활질량평분정황，입원기간폐부감염발생솔，평균주원시간등。결과：치료2주후，치료조여대조조상비와전음수시험개선솔유현저성차이(P<0.01)。량자폐염발생솔비교구유통계학차이(P<0.01)。치료조여대조조비교가대대축단주원시간(P<0.01)。3개월수진량조간mRS평분유현저차이(P<0.05)。결론：대조기뇌졸중진성구마비인기탄인곤난환자진행종합강복치료，가유효제고환자탄인공능，생활질량，감소폐염발생，축단입원치료시간。
Objective:To explore therapeutic efficacy of swallowing speech therapy combined with a variety of rehabilitation therapy on the early stroke dysphagia caused by the true bulbar.Methods:72 patients were random into treatment group and control group. The control group took the normal treatment of medicine.The treatment group added swallowing speech therapy instrument combined with compositive rehabilitation training based on the normal treatment of medicine.Followed-up the improvement rate of drinking water test, quality of life scores,hospital pulmonary infection rate,average hospitalization time etc.Results:After two weeks therapy, the comparison of the treatment group and control group of the improvement rate of drinking water test had statistically significant(P<0.01).Two groups of incidence of pneumonia had statistically significant(P<0.01).Two groups of the hospitalization time had statistically significant(P<0.01). Three months followed-up of mRS had statistically significant(P<0.05).Conclusion:Compositive rehabilitation training of the early stroke patients with dysphagia caused by the true bulbar effectively improved the stroke patients in swallowing function and quality of life,reduced the incidence of pneumonia,shorten the hospitalization time.
