脑梗塞后吞咽功能障碍的早期康复治疗.docVIP

脑梗塞后吞咽功能障碍的早期康复治疗 　　DOI：10.16662/j.cnki.1674-0742.2017.07.084 　　[摘要] 目的 探讨分析早期康复治疗对脑梗塞后吞咽功能障碍的治疗效果。方法 方便选取2014年9月―2015年9月期间在该院收治的60例脑梗塞后吞咽功能障碍患者，将其随机分为观察组和对照组，每组30例，观察组给予早期康复治疗，对照组给予常规治疗，观察比较两组患者的拔管时间及临床疗效。结果 观察组与对照组患者的拔管时间分别为（13.1±6.4）、（27.5±8.3）d，差异有统计学意义（P0.05）。?^察组治疗的总有效率为90.0%，明显高于对照组的56.7%，差异有统计学意义（P0.05）。结论 对脑梗死后吞咽功能障碍患者实施早期康复治疗疗效显著，可有效改善患者吞咽功能，值得推广应用。 　　[关键词] 脑梗塞；吞咽功能障碍；早期康复治疗 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0084-03 　　Early Rehabilitation Treatment of Dysphagia after Cerebral Infarction 　　LIU Ke-wan 　　Department of Neurology， Baoshan People’s Hospital， Baoshan， Yunnan Province， 678000 China 　　[Abstract] Objective To observe and analyze the effect of early rehabilitation treatment on the dysphagia after cerebral infarction. Methods Convenient selection 60 cases of patients with dysphagia after cerebral infarction admitted and treated in our hospital from September 2014 to September 2015 were selected and randomly divided into two groups with 30 cases in each， the observation group adopted the early rehabilitation treatment， while the control group adopted the routine treatment， and the tube drawing time and clinical curative effect were compared between the two groups. Results The difference in the tube drawing time between the observation group and the control group had statistical significance[（13.1±6.4）d vs （27.5±8.3）d]，and the difference had statistical significance（P0.05）， and the difference in the total effective rate between the observation group and the control group had statistical significance，（90.0% vs 56.7%）（P0.05）. Conclusion The curative effect of early rehabilitation treatment of dysphagia after cerebral infarction is obvious， which can effectively improve the swallowing function of patients， which is worth promotion and application. 　　[Key words] Cerebral infarction； Dysphagia； Early rehabilitation treatment 　　脑梗塞是一种发病率较高的脑血管疾病，多数脑梗塞患者有不同程度的吞咽功能障碍，发生率为29%～64%[1]，患者临床主要表现为口齿不清、吞咽困难、唇周肌肉无力、流痰等症状，如果不进行及时有效的治疗，将会造