CAJ | 학술논문

目的探讨脑卒中吞咽障碍的康复结局影响因素.方法选取广州市海珠区第一人民医院内科及广州医学院附属第二医院康复科2008年7月~2011 年7月收治的吞咽障碍患者100例,对其实施摄食训练、基础训练.疗程共4周.4周时,按照吞咽障碍的程度分级,并将其分为两组,即预后良好组与预后不良组,分析脑卒中吞咽障碍的康复结局影响因素.结果100例吞咽障碍患者中78例预后良好,占77.56%.单因素分析表明,吞咽障碍的康复结局影响因素为:严重程度、认知障碍、合作与否、慢性支气管炎感染、感觉性失语、视听觉障碍、康复介入时间.结论针对脑卒中吞咽障碍患者,治疗师、康复医师必须客观性、全面性评价患者情况,制定合理、科学的康复计划,以对其预后进行判断.
목적탐토뇌졸중탄인장애적강복결국영향인소.방법선취엄주시해주구제일인민의원내과급엄주의학원부속제이의원강복과2008년7월~2011 년7월수치적탄인장애환자100례,대기실시섭식훈련、기출훈련.료정공4주.4주시,안조탄인장애적정도분급,병장기분위량조,즉예후량호조여예후불량조,분석뇌졸중탄인장애적강복결국영향인소.결과100례탄인장애환자중78례예후량호,점77.56%.단인소분석표명,탄인장애적강복결국영향인소위:엄중정도、인지장애、합작여부、만성지기관염감염、감각성실어、시은각장애、강복개입시간.결론침대뇌졸중탄인장애환자,치료사、강복의사필수객관성、전면성평개환자정황,제정합리、과학적강복계화,이대기예후진행판단.
Objective To investigate the influencing factors of rehabilitation outcome of clinical dysphagia after stroke. Methods 100 cases with deglutition disorder from July 2008 to July 2011 were chosen, ingestion training and basic training were implemented. In 4 weeks, according to the classification of severity of dysphagia, and divided into two groups, the Logistic regression analysis were used to analyze influencing factors of rehabilitation outcome of dysphagia stroke. Results 78 cases had good prognosis, accounting for 77.56%. Univariate analysis showed that, influence factors of dysphagia rehabilitation outcome were severity,cognitive impairment,cooperation or not,chronic windpipeitis infection,sensory loss, vision and hearing disorders and the time of rehabilitation intervention. Conclusion For stroke patients with dysphagia,therapists,rehabilitation doctor must be objective,comprehensive evaluation of the patients, and take rational,scientific rehabilitation program,to judge the prognosis of the patients.