CAJ | 학술논문

目的观察口腔定位疗法(OPT)治疗脑卒中后流涎患者的疗效.方法共收集2011年1月至2013年9月期间在我科住院治疗的脑卒中后流涎患者37例,根据入选时间将其分为对照组及治疗组.2组患者均给予常规康复治疗,包括神经肌肉促进技术(以Bobath、Rood、运动再学习等疗法为主)、神经肌肉电刺激、冰刺激等.治疗组则在此基础上辅以OPT综合治疗.于入选前、治疗1周、2周及4周时分别采用Frenchay构音障碍评定法对2组患者流涎程度进行评定,并对其临床疗效进行比较.结果治疗1周后,治疗组流涎程度较入选前显著改善(P＜0.05),而对照组流涎程度无明显改善(P＞0.05);治疗2周及4周后,2组患者流涎症状均较前一次评定结果明显改善(P＜0.05).治疗1周、2周及4周时,治疗组总有效率分别为63.16％、94.74％和94.74％,对照组总有效率则分别为5.88％、61.11％和61.11％,上述时间点治疗组总有效率均显著优于对照组水平(P＜0.05).结论 OPT疗法可显著改善脑卒中后流涎症状,其疗效及起效时间均明显优于常规康复治疗.
목적 관찰구강정위요법(OPT)치료뇌졸중후류연환자적료효.방법 공수집2011년1월지2013년9월기간재아과주원치료적뇌졸중후류연환자37례,근거입선시간장기분위대조조급치료조.2조환자균급여상규강복치료,포괄신경기육촉진기술(이Bobath、Rood、운동재학습등요법위주)、신경기육전자격、빙자격등.치료조칙재차기출상보이OPT종합치료.우입선전、치료1주、2주급4주시분별채용Frenchay구음장애평정법대2조환자류연정도진행평정,병대기림상료효진행비교.결과 치료1주후,치료조류연정도교입선전현저개선(P＜0.05),이대조조류연정도무명현개선(P＞0.05);치료2주급4주후,2조환자류연증상균교전일차평정결과명현개선(P＜0.05).치료1주、2주급4주시,치료조총유효솔분별위63.16％、94.74％화94.74％,대조조총유효솔칙분별위5.88％、61.11％화61.11％,상술시간점치료조총유효솔균현저우우대조조수평(P＜0.05).결론 OPT요법가현저개선뇌졸중후류연증상,기료효급기효시간균명현우우상규강복치료.
Objective To observe the therapeutic effects of oral placement therapy (OPT) on managing sialorrhea after stroke.Methods A total of 37 stroke inpatients with sialorrhea were enrolled from January 2011 to September 2013 in the authors' department for the study and divided into 2 group on the basis of the time of enrollment.The control group (n =18) received 30min of routine treatment (including such neuromuscular facilitation techniques as Bobath and Rood techniques,motor relearning program,neuromuscular electrical stimulation and ice stimulation),twice daily,and the treatment group (n =19) received 15 min of routine treatment plus 15 min of OPT,twice daily.Frenchay Dysarthria Assessment was used to evaluate the sialorrhea severity and clinical efficacy before and 1,2 and 4 weeks after initiation of treatment.Results Sialorrhea symptom was significantly improved in treatment group after 1 week (P ＜ 0.05),while no significant improvement was observed in control group (P ＞ 0.05).After 2 and 4 weeks of treatments,significant improvements of sialorrhea were noted in both groups.After 1,2 and 4weeks of treatment,the total effective rate were 63.16％,94.74％ and 94.74％,respectively,in the treatment group,versus 5.88％,61.11％ and 61.11％,respectively,in the control group.The total effective rate of the treatment group were significantly higher in the above three time-points than the control group (P ＜ 0.05).Conclusions Oral placement therapy can improve sialorrhea symptom after stroke more effectively than routine treatment.