岛盖综合征患者临床特征与康复规律的研究

发布时间：2018-05-15 11:30

本文选题：岛盖综合征 + 口面失用　；参考：《中国康复医学杂志》2016年09期

【摘要】：目的:探讨岛盖综合征的主要临床特征和恢复规律,优化岛盖综合征的临床诊断和康复干预方法。方法:收集13例门诊或住院的岛盖综合征患者,用口面失用量表、Frenchay构音障碍评定法等量表,在首次门诊或入院后第1天、出院前1天评定患者,根据入院后第1天康复评定的结果予以住院患者个体化的康复干预。结果:8例皮质型患者的皮质病损部位累及单侧或双侧岛盖;所有患者首诊或入院时口面失用量表评定均提示有显著的口、面、舌肌的自主运动障碍,住院患者经康复干预后口面失用量表评分显著性增高,9例入院时为鼻饲营养的住院患者经康复治疗后有6例患者改为经口进食,约占66.7%;所有患者首诊或入院时均表现为重度构音障碍,10例住院患者经20天以上的康复训练,仍为重度构音障碍。结论:口腔期吞咽障碍和重度构音障碍是岛盖综合征患者重要临床特征,大多数岛盖综合征患者经康复治疗能恢复经口进食,而构音障碍却很难恢复。
[Abstract]:Objective: To explore the main clinical features and recovery rules of island lid syndrome and to optimize the clinical diagnosis and rehabilitation intervention methods of island cover syndrome. Methods: 13 cases of island gait syndrome were collected in outpatient or hospitalized patients, using the mouth surface loss meter, Frenchay dysarthria assessment method, and first days after the first outpatient or hospital admission, and 1 days before discharge. According to the results of the rehabilitation assessment for first days after admission, the individual rehabilitation intervention was given. Results: 8 cases of cortical lesions were involved in unilateral or bilateral Island cover, and all patients' first visit or admission to the hospital showed significant oral, facial, autonomic dyskinesia and rehabilitation of patients in the hospital. The score of the oral surface loss meter was significantly higher after the intervention, and in 9 hospitalized patients with nasogastric nutrition at admission, 6 patients were changed into oral feeding, accounting for about 66.7%. All the patients showed severe dysarthria during the first visit or admission, and 10 hospitalized patients were trained for more than 20 days and still had severe dysarthria. Conclusion: mouth Dysphagia and severe dysarthria are important clinical features of the patients with island gait syndrome. Most of the island's syndrome patients recover through rehabilitation, while dysarthria is difficult to recover.

【作者单位】：复旦大学附属华山医院康复医学科复旦大学上海医学院康复医学系;上海市第一康复医院;
【基金】：上海市科学技术委员会资助项目(13DZ1941603) 上海市重要薄弱学科建设计划(2015ZB0401)
【分类号】：R743;R49

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