冰火刺激疗法治疗脑卒中后假性球麻痹致吞咽困难患者疗效观察.docVIP

冰火刺激疗法治疗脑卒中后假性球麻痹致吞咽困难患者疗效观察 　　摘要：目的 探讨冰火刺激疗法治疗脑卒中后假性球麻痹致吞咽困难患者的疗效观察。方法 将120例脑卒中合并假性球麻痹致吞咽困难患者随机分为治疗组和对照组。治疗组采用常规疗法加康复训练加冰火刺激治疗，对照组采用常规疗法加康复训练，观察其临床效果。结果 治疗组患者吞咽障碍治疗效果优于对照组（P0.05），吸入性肺炎发生率明显降低、康复时间明显缩短。结论 冰火刺激治疗脑卒中后假性球麻痹致吞咽困难患者临床效果显著，值得临床广泛应用。 　　关键词：冰火刺激；脑卒中；假性球麻痹；吞咽困难 　　中图分类号：R743 R245.9 文献标识码：B 　　Observation on the Effect of Ice Fire Stimulation Rehabilitation Training in the Treatment of Dysphagia after Stroke 　　ZHANG Feng-Yan1，LIANG Jing2 　　（1.Department of Neurology，Shunyi District Hospital of Beijing，Beijing 101300，China；2.Hemiplegia Rehabilitation Ward，Liulitun Community Health Service Center，Beijing 100026，China） 　　Abstract：Objective To explore the effect of the ice fire stimulation rehabilitation training cerebral infarction in the treatment of poststroke dysphagia of pseudobulbar.Methods 120 patients with swallowing dysfuntion with peseudobulbar after stroke were randomly divieded into two groups：a treatment group and a control group.The control group received pharmacotherapy and routine rehabilitation training，The treatment group received ice fire stimulation rehabilitation training and routine treatment and rehabilitation training.To obersve the clincal curative effect.Results The curative effect in the treatment group was significantly better than in the control group.The incidence rate of aspiratory pneumonia was lowered than control group.The time of rehabilitation was significantly shorten.Conclusion The ice fire stimulation rehabilitation training cerebral infarction is more effective than the control group It is the best method to treat dysphagia after stroke. 　　Key words：Ice fire stimulation；Stroke；Pseudobulbar；Dysphagia 　　近年来，脑卒中的发病率逐年上升，是常见的致残原因，其中因假性球麻痹可导致50%左右患者发生程度不同的吞咽功能障碍和饮水呛咳，且病情迁延难愈。假性球麻痹是因双侧额叶运动神经皮质或皮质延髓束受损伤引起，若得不到及时的治疗，极易引起吸入性肺炎、窒息，严重营养不良、水电解质平衡紊乱等症状，造成患者身体和心理极度痛苦，严重影响其生活质量。我科采用冰火刺激联合康复疗法及单一康复疗法两种方法，对比研究治疗脑卒中合并假性球麻痹患者致吞咽困难的效果，取得了较为满意的疗效，报道如下。 　　1 资料与方法 　　1.1一般资料 选择2012年10月～2014年10月在我院住院治疗的脑卒中合并假性球麻痹致吞咽困难患者120例。纳入标准：年龄40～85岁，