强化康复训练对脑卒中后吞咽障碍患者吞咽功能及营养状况的改善作用.docxVIP

强化康复训练对脑卒中后吞咽障碍患者吞咽功能及营养状况的改善作用 　　[摘要]目的探討强化康复训练对脑卒中后吞咽障碍患者吞咽功能及营养状况的改善作用。方法选取2017年1月～2018年12月就诊脑卒中后吞咽障碍患者84例，采用抛硬币法将患者分为干预组和对照组，各42例。对照组患者予以常规干预措施，干预组患者在对照组基础上加以强化康复训练。两组患者均干预8周。观察并比较两组患者干预前与干预8周后吞咽功能及营养状况指标的变化，并比较其临床效果。结果干预8周后，两组患者藤氏评分较干预前显著上升（p0.05或p0.01），且干预组患者上升幅度较对照组更显著（p0.05）;两组患者血清hb、alb、pab及mamc水平较干预前明显上升（p0.05或p0.01），且干预组患者上升幅度较对照组更明显（p0.05）;干预组临床总有效率明显高于对照组（χ2=4.11，p0.05）。结论强化康复训练用于脑卒中后吞咽障碍患者的效果确切，不仅可改善其吞咽功能障碍，最大限度地恢复患者吞咽功能，而且可改善其营养状况，减少营养不良的发生，从而更能从整体提高患者治疗康复效果。 　　[关键词]脑卒中;吞咽障碍;强化康复训练;营养状况 　　[中图分类号]r743.3;r49[文献标识码]b[文章编号]1673-9701（2020）10-0118-04 　　[abstract]objectivetoexploretheeffectofintensiverehabilitationtrainingonswallowingfunctionandnutritionalstatusinpatientswithdysphagiaafterstroke.methodseighty-fourpatientswithdysphagiaafterstrokefromjanuary2017todecember2018wereenrolled.thepatientswererandomlydividedintointerventiongroupandcontrolgroup，eachwith42cases.patientsinthecontrolgroupweregivenroutineinterventions，andpatientsintheinterventiongroupweregivenintensiverehabilitationonthebasisofthecontrolgroup.bothgroupsofpatientswereintervenedfor8weeks.thechangesofswallowingfunctionandnutritionalstatusofthetwogroupsbeforeandafter8weeksofinterventionwereobservedandcompared，andtheclinicaleffectswerecompared.resultsafter8weeksofintervention，thesaitohsscoresofthetwogroupsweresignificantlyhigherthanthosebeforetheintervention（p0.05orp0.01），andtheincreaseintheinterventiongroupwasmoresignificantthanthatinthecontrolgroup（p0.05）.thelevelsofserumhb，alb，pabandmamcinthetwogroupsweresignificantlyhigherthanthosebeforetheintervention（p0.05orp0.01），andtheincreaseintheinterventiongroupwasmoresignificantthanthatinthecontrolgroup（p0.05）.thetotaleffectiverateoftheinterventiongroupwassignificantlyhigherthanthatofthecontrolgroup（χ2=4.11，p0.05）.conclusionintensiverehabilitationtrainingforpatientswithdysphagiaafterstrokeiseffective，whichcannotonlyimprovetheirswallowingdysfunction，maximizetherecoveryofswallowingfunction，butalsoimprovetheirnutritionalstatus，reduceth