饮食干预结合吞咽训练对脑卒中吞咽障碍患者康复的对照研究

发布时间：2019-05-18 10:17

【摘要】：目的对照研究饮食干预结合吞咽训练对脑卒中吞咽障碍康复的疗效。方法选择脑卒中后吞咽障碍患者48例,按随机抽签分为对照组和观察组各24例。在常规治疗、护理、饮食宣教基础上,对照组予单纯吞咽训练,观察组予吞咽训练结合饮食干预,8周后使用洼田饮水试验、误吸率及白蛋白指标作为评价标准,观察两组的干预效果。结果干预后观察组患者洼田饮水试验评分较干预前显著下降(P0.05),且观察组洼田饮水评分显著低于对照组(P0.05);对照组患者洼田饮水试验评分亦有下降,但较观察组下降不明显;干预后观察组白蛋白指标无明显变化,对照组白蛋白指标明显下降;观察组发生误吸3例(3次),对照组发生误吸5例(8次)。结论脑卒中吞咽障碍患者行饮食干预结合吞咽训练较单纯吞咽训练的康复作用更明显。
[Abstract]:Objective to compare the effect of diet intervention combined with swallowing training on the rehabilitation of dysphagia in stroke. Methods 48 patients with dysphagia after stroke were randomly divided into control group (n = 24) and observation group (n = 24). On the basis of routine treatment, nursing and diet education, the control group was given simple swallowing training, and the observation group was treated with swallowing training combined with dietary intervention. Eight weeks later, the Watian drinking water test was used, and the aspiration rate and albumin index were used as the evaluation criteria. The intervention effect of the two groups was observed. Results after intervention, the score of Watian drinking water test in the observation group was significantly lower than that before intervention (P 0.05), and the score of Watian drinking water in the observation group was significantly lower than that in the control group (P 0.05). The score of Watian drinking water test in the control group also decreased, but it was not significantly lower than that in the observation group, but there was no significant change in albumin index in the observation group and a significant decrease in the albumin index in the control group after intervention. Aspiration occurred in 3 cases (3 times) in the observation group and 5 cases (8 times) in the control group. Conclusion Diet intervention combined with swallowing training is more effective than swallowing training in stroke patients with dysphagia.
【作者单位】：浙江医院;
【基金】：浙江省卫计委适宜技术成果转化计划;编号:2015ZHA002
【分类号】：R473.74

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