CAJ | 학술논문

目的：探讨综合康复治疗对急性脑卒中后吞咽障碍的临床治疗效果。方法：选择我院自2011年6月到2012年6月收治的78例急性脑卒中后吞咽障碍的患者为研究对象，随机分为Vitalstim 电刺激配合吞咽训练（康复治疗组）组及传统吞咽训练（常规训练组）组，每组各39例，分别于治疗前后应用洼田氏饮水试验，观察比较治疗效果并进行统计学分析。结果：康复治疗组的总有效率显著高于常规训练组（92.3％比74.3％，χ2＝4.191， P＝0.041）；康复治疗组的吞咽功能评分平均下降幅度显著高于常规训练组[（2.0±0.5）分比（1.1±0.6）分，t＝5.284， P＝0.032]。结论：综合康复训练能够显著改善脑卒中所导致的吞咽障碍。
목적：탐토종합강복치료대급성뇌졸중후탄인장애적림상치료효과。방법：선택아원자2011년6월도2012년6월수치적78례급성뇌졸중후탄인장애적환자위연구대상，수궤분위Vitalstim 전자격배합탄인훈련（강복치료조）조급전통탄인훈련（상규훈련조）조，매조각39례，분별우치료전후응용와전씨음수시험，관찰비교치료효과병진행통계학분석。결과：강복치료조적총유효솔현저고우상규훈련조（92.3％비74.3％，χ2＝4.191， P＝0.041）；강복치료조적탄인공능평분평균하강폭도현저고우상규훈련조[（2.0±0.5）분비（1.1±0.6）분，t＝5.284， P＝0.032]。결론：종합강복훈련능구현저개선뇌졸중소도치적탄인장애。
Objective:To explore the clinical therapeutic effect of comprehensive rehabilitative treatment on dyspha-gia after acute cerebral stroke .Methods :A total of 78 patients with dysphagia after acute cerebral stroke ,who visi-ted to our hospital from Jun 2011 to Jun 2012 ,were selected ,randomly and equally divided into Vitalstim electrical stimulus plus swallowing training group (rehabilitation treatment group ) and traditional swallowing training group (routine training group) .Patients received Kubota's water drinking test before and after treatment .Therapeutic effects were observed ,compared and statistically analyzed .Results:Total effective rate of rehabilitation treatment group was significantly higher than that of routine training group (92.3% vs .74.3% ,χ2 = 4.191 , P= 0.041 );mean declining amplitude of swallowing function score in rehabilitation group was significantly higher than that of routine training group [ (2.0 ± 0.5) scores vs .(1.1 ± 0.6) scores , t=5.284 , P=0.032] .Conclusion:Comprehen-sive rehabilitation training can significantly improve dysphagia caused by cerebral stroke .