中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2015年
1期
20-21,23
,共3页
陈慧芳%廖玉明%王博禹%徐伟健%曾金明%熊虎%陈强%史靖%申娟
陳慧芳%廖玉明%王博禹%徐偉健%曾金明%熊虎%陳彊%史靖%申娟
진혜방%료옥명%왕박우%서위건%증금명%웅호%진강%사정%신연
脑卒中%吞咽障碍%康复%生物反馈%门德尔松手法
腦卒中%吞嚥障礙%康複%生物反饋%門德爾鬆手法
뇌졸중%탄인장애%강복%생물반궤%문덕이송수법
Stroke%Dysphagia%Rehabilitation%Biofeedback%Mendelsohn technique
目的：观察以生物反馈配合门德尔松手法为主的综合康复疗法对脑卒中患者假性球麻痹致吞咽障碍的临床疗效。方法：回顾性分析我院脑卒中后假性球麻痹致吞咽障碍患者64例的临床资料，随机分为2组，治疗组（31例）和对照组（33例），对31例治疗组施以生物反馈配合门德尔松手法为主的综合康复疗法对吞咽障碍进行康复训练，并与33例对照组以生物反馈配合综合康复疗法对吞咽障碍进行康复训练的患者进行疗效比较。分别于治疗前、治疗后，用洼田俊夫饮水试验评价吞咽功能的变化。结果：治疗后，两组患者的吞咽功能比治疗前有明显改善，经秩和检验两组差异有显著性（P＜0.05），治疗组患者的吞咽功能显著优于对照组，经秩和检验两组差异有显著性（P＜0.05）。结论：通过对脑卒中吞咽障碍患者实施以生物反馈配合门德尔松手法治疗为主的综合康复训练，可以提高患者的吞咽功能优于对照组。
目的：觀察以生物反饋配閤門德爾鬆手法為主的綜閤康複療法對腦卒中患者假性毬痳痺緻吞嚥障礙的臨床療效。方法：迴顧性分析我院腦卒中後假性毬痳痺緻吞嚥障礙患者64例的臨床資料，隨機分為2組，治療組（31例）和對照組（33例），對31例治療組施以生物反饋配閤門德爾鬆手法為主的綜閤康複療法對吞嚥障礙進行康複訓練，併與33例對照組以生物反饋配閤綜閤康複療法對吞嚥障礙進行康複訓練的患者進行療效比較。分彆于治療前、治療後，用窪田俊伕飲水試驗評價吞嚥功能的變化。結果：治療後，兩組患者的吞嚥功能比治療前有明顯改善，經秩和檢驗兩組差異有顯著性（P＜0.05），治療組患者的吞嚥功能顯著優于對照組，經秩和檢驗兩組差異有顯著性（P＜0.05）。結論：通過對腦卒中吞嚥障礙患者實施以生物反饋配閤門德爾鬆手法治療為主的綜閤康複訓練，可以提高患者的吞嚥功能優于對照組。
목적：관찰이생물반궤배합문덕이송수법위주적종합강복요법대뇌졸중환자가성구마비치탄인장애적림상료효。방법：회고성분석아원뇌졸중후가성구마비치탄인장애환자64례적림상자료，수궤분위2조，치료조（31례）화대조조（33례），대31례치료조시이생물반궤배합문덕이송수법위주적종합강복요법대탄인장애진행강복훈련，병여33례대조조이생물반궤배합종합강복요법대탄인장애진행강복훈련적환자진행료효비교。분별우치료전、치료후，용와전준부음수시험평개탄인공능적변화。결과：치료후，량조환자적탄인공능비치료전유명현개선，경질화검험량조차이유현저성（P＜0.05），치료조환자적탄인공능현저우우대조조，경질화검험량조차이유현저성（P＜0.05）。결론：통과대뇌졸중탄인장애환자실시이생물반궤배합문덕이송수법치료위주적종합강복훈련，가이제고환자적탄인공능우우대조조。
Objective: To observe the clinical effects of comprehensive rehabilitation therapy with biofeedback with Mendelsohn approach based on induced dysphagia of pseudobulbar paralysis in patients with cerebral stroke.Methods:A retrospective analysis of the clinical data in our hospital pseudobulbar palsy after stroke patients with dysphagia caused 64 cases were randomly divided into two groups, the treatment group (31 cases) and control group(33 cases),31 patients subjected to biological treatment groups feedback with Mendelssohn-based integrated approach dysphagia rehabilitation therapy rehabilitation training,and with 33 cases in the control group of patients with biofeedback with comprehensive rehabilitation therapy on dysphagia conducted to compare the efficacy of rehabilitation. Respectively,before and after treatment with depression Kubota Toshio drinking twater test evaluation of swallowing function changes. Results:After treatment, the two groups were compared swallowing function before treatment significantly improved by Yi and test the difference was statistically significant (P<0.05),patients treated with swallowing function was significantly better than the control group, the Yi and test groups there was a significant difference (P<0.05).Conclusion:Through the implementation of comprehensive rehabilitation training with biofeedback with Mendelsohn means therapy patients with dysphagia after stroke,Can improve swallowing function is better than that of the control group patients.
