综合性吞咽训练对急性脑卒中患者吞咽功能的重建及对吸入性肺炎的影响.DOCVIP

临床医学论文-综合性吞咽训练对急性脑卒中患者吞咽功能的重建及对吸入性肺炎的影响 ??????????????????????????? ? 作者：李华 王玉龙 邹碧花 龙建军? 【摘要】? 目的：探讨综合性吞咽训练对急性脑卒中患者吞咽功能的重建及对吸入性肺炎的影响。方法：将 48 例急性脑卒中患者随机分为治疗组（n = 25）和对照组（n = 23）。两组患者均接受常规康复治疗，治疗组在常规治疗基础上接受综合性吞咽训练，每日 1 次，每次 30 min，共计治疗 1 个月。分别于治疗前和治疗 1 个月后进行反复唾液吞咽试验、饮水试验评分，并统计治疗 1 个月期间患者出现吸入性肺炎的情况。结果：治疗前两组反复唾液吞咽试验、饮水试验评分无显著性差异（P 0.05）。治疗 1 个月后，治疗组反复唾液吞咽试验、饮水试验评分与对照组相比较，差异具有 显著性意义（P 0.05）；治疗组吞咽障碍的疗效与对照组相比较，差异具有显著性意义（P 0.05）。治疗 1 个月期 间，将治疗组吸入性肺炎发生情况与对照组进行比较，差异具有显著性意义（P 0.05）。结论：早期介入吞咽训练可以促进急性脑卒中患者吞咽功能的重建，改善患者的吞咽功能，减少吸入性肺炎的发生。 【关键词】? 吞咽障碍；吞咽功能重建；脑卒中；吸入性肺炎 ??? 〔Abstract〕 Objective?? To? study? the? effects? of? swallowing? training? on? the? functional? reconstruction? of? swallowing? function? and? aspiration? pneumonia? in? the? acute? stroke? patients?with?dysphagia.牋?Methods牋牋 48?patients with?clinical?dysphagia?following?the?acute?stroke?were?randomly?chosen?and?divided?into?two?groups: the?treatment?group (n?=?23)?and?the?control?group?(n?=?20).?Both?groups?received?the?similar?treatments?with?normal?rehabilitation?training,?while?the?patients?in?the?treatment?group?were?additionally?treated?with?swallowing?training?once?every?day?for?one?month?simultaneously.?The?patients?were?treated? 30? minutes? each? time.? The? following? indexes? were? measured? before? the? treatment? and? one? month? after? the? treatment,? respectively.? ① The? swallowing? function? was? evaluated? by? using? drinking? experiment? and? repetitive? saliva? swallowing? test? (RSST);? ② The? occurrence? of? aspiration? pneumonia? was? detected? by? using? X-ray.??? Results???? No? significant? difference? was? found? in? the? scores of? drinking? experiment? and? repetitive? saliva? swallowing? test? for? the? patients?between?the?two?groups?before treatment?(P??0.05).?One?month?after?the?treatment,?scores?of?drinking?experiment?were?decreased?in?the?treatment group?than?that?of?the?control?group?(P??0.05),?and?scores?of?