strokepatientswithdysphagia.PDF

临床与病理杂志 2017, 37(3) J Clin Pathol Res 467 doi: 10.3978/j.issn.2095-6959.2017.03.004 View this article at: /10.3978/j.issn.2095-6959.2017.03.004 标准摄食锻炼方案在脑卒中吞咽障碍患者中的运用效果 彭银英，朱乐英，叶日春 (广东省中医院大学城医院康复科，广州 510006) [摘　要] 目的：探讨标准摄食锻炼方案在脑卒中吞咽障碍患者中的运用效果。方法：将脑卒中后合并吞咽 功能障碍的70例患者随机分为对照组和观察组，其中对照组采用常规综合干预方案，观察组在常 规方案的基础上采用标准摄食锻炼方案，比较两组患者吞咽功能评分、坠积性肺炎发生率及对康 复锻炼的满意度。结果：两组患者干预后吞咽功能评分均有明显改善，且观察组患者的改善程度 明显优于对照组(P0.05)，观察组患者的吸入性肺炎的发生率明显低于对照组(P0.05)，观察组 患者对摄食锻炼方案的满意度明显高于对照组(P0.05)。结论：在常规综合干预方案结合标准摄 食管理方案可有效改善脑卒中吞咽障碍患者的吞咽功能状态，降低脑卒中相关吸入性肺炎的发生 率，在临床值得进一步推广。 [关键词] 脑卒中；吞咽障碍；脑卒中相关性肺炎；摄食锻炼 Effect of applying standard ingestion exercise scheme to stroke patients with dysphagia PENG Yinying, ZHU Leying, YE Richun (Department of Rehabilitation, University Town Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510006, China) Abstract Objective: To evaluate the effect of standard ingestion exercise scheme on stroke patients with dysphagia. Methods: Seventy stroke patients with dysphagia were randomly divided into a control group and an observation group. The control group adopted the conventionally comprehensive intervention scheme. The observation group adopted the standard ingestion exercise scheme on the basis of the conventional scheme. Then, the two groups were compared in respect of the scores of the swallowing function, the incidence of hypostatic pneumonia and rehabilitation exercise satisfaction. Results: As for the swallowing function, patients in the two groups improved