综合康复训练联合咽部冰刺激治疗老年急性脑卒中后吞咽困难的临床疗效

发布时间：2018-04-13 20:25

本文选题：综合康复训练 + 咽部冰刺激　；参考：《中国老年学杂志》2017年21期

【摘要】：目的分析综合康复训练联合咽部冰刺激治疗老年急性脑卒中后吞咽困难患者的临床效果。方法急性脑卒中后出现吞咽困难的老年患者96例随机分为两组,各48例。对照组接受药物治疗及进食训练、口腔肌肉锻炼等综合康复训练。观察组在对照组治疗的基础上联合咽部冰刺激。比较两组治疗有效率和吸入性肺炎发生率,同时观察治疗前后两组Barthel指数和生活质量量表评分变化。结果观察组治疗总有效率显著高于对照组(P0.05),吸入性肺炎发生率显著低于对照组(P0.05),Barthel指数和生活质量量表评分均显著高于对照组(P0.05)。结论综合康复训练联合咽部冰刺激应用于急性脑卒中后吞咽困难,能够显著提高治疗效果,降低吸入性肺炎的发生率,提高患者的生活质量。
[Abstract]:Objective to analyze the clinical effect of comprehensive rehabilitation training combined with pharyngeal ice stimulation on elderly patients with dysphagia after acute stroke.Methods 96 elderly patients with dysphagia after acute stroke were randomly divided into two groups, 48 cases in each group.The control group received comprehensive rehabilitation training, such as drug therapy and eating training, oral muscle exercise and so on.Observation group in the control group on the basis of treatment combined with pharyngeal ice stimulation.Results the total effective rate in the observation group was significantly higher than that in the control group (P 0.05). The incidence of aspiration pneumonia was significantly lower in the observation group than in the control group (P 0.05). The Barthel index and the quality of life scale score were significantly higher than those in the control group (P 0.05).Conclusion Comprehensive rehabilitation training combined with pharyngeal ice stimulation for dysphagia after acute stroke can significantly improve the therapeutic effect, reduce the incidence of aspiration pneumonia, and improve the quality of life of the patients.
【作者单位】：南通大学附属医院康复科;南京医科大学附属无锡市人民医院神经内科;
【基金】：国家自然科学基金青年基金(81201051) 南通市科技项目(MS22015075) 南通大学附属医院科研专项计划(Tfh1527)
【分类号】：R743.3

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