早期吞咽功能训练对脑卒中后吞咽障碍患者吞咽功能影响.docVIP

早期吞咽功能训练对脑卒中后吞咽障碍患者吞咽功能影响 　　[摘要]目的 探讨早期吞咽功能训练对脑卒中后吞咽障碍患者吞咽功能的影响。方法 选取我院2013年2月～2016年12月接诊的88例脑卒中吞咽障碍患者，使用随机数字表法分为对照组（44例）和观察组（44例）。两组均接受常规治疗与护理，在此基础上观察组加以早期吞咽功能训练，以SPSS 17.0统计学软件比较两组的治疗效果、吞咽功能改善情况等。结果 观察组的总有效率为95.45%，对照组为72.73%，组间差异有统计学意义（P0.05）；两组治疗后的吞咽功能评分均降低，但观察组吞咽功能评分明显降低，差异有统计学意义（P0.05）。结论早期吞咽功能训练的应用效果显著，利于脑卒中伴吞咽障碍患者吞咽功能的恢复，值得进一步推广。 　　[关键词]脑卒中；吞咽障碍；早期吞咽功能训练；吞咽功能评分 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721（2017）10（b）-0191-03 　　[Abstract]Objective To investigate the influence of early swallowing function training on swallowing function in patients with post-stroke dysphagia.Methods Forty-eight patients with stroke dysmenorrhea wereselected from the hospital from February 2013 to December 2016，and weredivided into control group （n=44） and observation group （n=44） according to the random number table method.Routine treatment and care were given the two groups.On this basis，early swallowing function training was added in the observation group.Treatment effect and the improvement and swallowing function were compared between the two groups using SPSS 17.0 statistical software in two groups of treatment improvement.Results The total effective rate was 95.45% in the observation group and 72.73% in the control group，the difference was statistically significant （P0.05）.The two groups had lower swallowing function scores after treatment，but this score in the observation group was obviously decreased （P0.05）.Conclusion The effect of early swallowing function training is significant，which is beneficial to the recovery of swallowing function in stroke patients with swallowing disorder，it is worthy of further promotion. 　　[Key words]Stroke；Dysphagia；Early swallowing function training；Swallowing function score 　　?X卒中是一种急性脑血管疾病，是由于脑部血管突然破??或因血管阻塞导致血液不能流入大脑而引起脑组织损伤的一组疾病，多见于≥40岁男性，特点为病死率高、致残率高、患病率高，常合并不同程度的肢体、吞咽、语言等方面的功能障碍，影响生活质量，特别是吞咽功能障碍，一方面影响患者食物的摄入量，另一方面增加吸入性肺炎发生风险，甚至窒息[1]。据报道，早期功能康复训练对脑卒中患者肢体、语言等方面功能恢复进展起到至关重要作用[2]。为此，本文对我院脑卒中后吞咽功能障碍患者应用早期吞咽功能训练，现报道如下。 　　1资料与方法