吞咽障碍理疗仪治疗急性脑卒中吞咽障碍例临床研究.docVIP

吞咽障碍理疗仪治疗急性脑卒中吞咽障碍40例临床研究作者单位：广东省英德市人民医院神经内科，广东 英德 513000 作者：卢展宏，柯绪林，历三明，石显婷【摘要】? 目的：探讨吞咽障碍理疗仪治疗急性脑卒中吞咽障碍的疗效。方法： 将80例急性脑卒中吞咽障碍患者随机分为两组，治疗组40例应用吞咽障碍理疗仪治疗，同时进行吞咽功能训练，对照组40例保守治疗，未应用吞咽障碍理疗仪进行治疗，仅进行吞咽功能训练。21d为1个疗程，对两组患者治疗前、后进行饮水测试结果比较。结果：治疗后两组均能改善吞咽障碍，但吞咽障碍理疗仪的疗效优越于保守治疗(P0.05)。结论：吞咽障碍理疗仪治疗急性脑卒中吞咽障碍疗效显著，无痛苦，无不良反应，患者易接受并大大缩短住院时间等优点。 【关键词】 吞咽障碍理疗仪；吞咽障碍；急性脑卒中 Clinical study of the swallow treatment apparatus in the treatment of acute cerebral stroke with swallow obstacle 　　LU Zhan-hong,KE Xu-lin,LI San-ming,et al (Department of Neurology,the People′s Hospital of Yingde City,Yingde 513000,China) 【Abstract】 ObjectiveTo explore the therapeutic effect of the swallow treatment apparatus in the treatment of acute cerebral stroke with swallow obstacle.MethodEighty patients of acute cerebral strok with swallow obstacle were randomly allocated into two groups,the therapy group (n=40) were treated with the swallow treatment apparatus and swallowing functional training,and the control group were treated with swallowing functional training only.Two groups were treated for 3 weeks.Two groups were compared the results of drinking water test before and after 3-week′s treatment.ResultsSwallow obstacle in the two groups were all improved,the effects in the therapy group was much better than that of the control group(P0.05).ConclusionThe swallow treatment apparatus has significant therapeutic effect in the treatment of acute cerebral stroke with swallow obstacle,and with the advantages of no complaints,no side effects,easily acception by patients and shortening the length of stay. 【Key Words】The swallow treatment apparatus； Swallow obstacle； Acute cerebral stroke 　　随着工业社会的飞迅发展和老年社会的到来，我国脑卒中的发病率呈逐年上升的趋势，而伴随有吞咽障碍的急性脑卒中患者也随之增多，据报道急性脑卒中患者吞咽障碍的发生率约29%～60%，常发生脱水、误吸、吸入性肺炎甚至窒息、营养不良、机体抵抗力下降等而影响患者的康复，甚至死亡。我院神经内科对急性脑卒中吞咽障碍患者进行吞咽障碍理疗仪治疗，取得良好疗效，现报告如下。 1 资料与方法 1.1 一般资料：2007年1月～2009年1月在我院神经科住院的急性脑卒中吞咽障碍患者80例，全部患者均为发病3d以内者，经头颅 CT或MR确诊为脑梗死或脑出患者，均符合全国第四届脑血管病诊断标准[1]。按入院日期随机分为两组，吞咽障碍理疗仪治疗组40例，其中男25例，女15例，年龄40～8