卒中后吞咽障碍的综合康复治疗对卒中相关性肺炎的影响

发布时间：2018-10-26 08:24

【摘要】：目的:对急性缺血性脑卒中后吞咽障碍的患者进行针刺、神经肌肉电刺激和康复训练综合康复治疗,观察患者住院期间卒中相关性肺炎(stroke associated pneumonia,SAP)的发生率及出院后3个月内因卒中相关性肺炎再住院率,分析综合康复治疗对卒中相关性肺炎的临床意义。方法:135例急性缺血性脑卒中后吞咽障碍患者随机分为综合康复组(n=65)与对照组(n=70),对照组常规用药物治疗+康复训练;综合康复组在对照组治疗的基础上给予针刺治疗和神经肌肉电刺激治疗。统计两组患者于住院治疗14天时SAP发生例数、于28天时治愈SAP例数及SAP发生例数,进一步回访两组患者出院后3个月内因SAP再住院例数。结果:于住院14天时两组SAP发生率相近,无明显统计学差异(P0.05);于住院28天时,SAP发生率小于对照组,差异有统计学意义(P0.05),且综合康复组SAP治愈率高于对照组,差异有统计学意义(P0.05);出院后3个月内综合康复组因SAP再住院率明显小于对照组,差异有统计学意义(P0.05)。结论:卒中后吞咽障碍的综合康复治疗对于改善吞咽功能、缩短吞咽障碍的病程、降低SAP发生率、促进SAP愈合及出院后3个月内因SAP再住院率有重要意义。
[Abstract]:Objective: to observe the effect of acupuncture, neuromuscular electrical stimulation and rehabilitation training on patients with dysphagia after acute ischemic stroke, and to observe the (stroke associated pneumonia, of stroke associated pneumonia during hospitalization. The incidence of SAP and the rehospitalization rate of apoplectic pneumonia within 3 months after discharge from hospital. The clinical significance of comprehensive rehabilitation therapy for stroke associated pneumonia was analyzed. Methods: 135 patients with dysphagia after acute ischemic stroke were randomly divided into comprehensive rehabilitation group (n = 65) and control group (n = 70). The comprehensive rehabilitation group was treated with acupuncture and neuromuscular electrical stimulation on the basis of control group. The number of SAP cases at 14 days after hospitalization, the number of cured SAP cases and the number of SAP cases in 28 days were counted. The patients in the two groups were re-hospitalized because of SAP within 3 months after further visit. Results: the incidence of SAP in the two groups was similar after 14 days of hospitalization, but there was no significant difference between the two groups (P0.05). At 28 days of hospitalization, the incidence of SAP was lower than that of the control group, the difference was statistically significant (P0.05), and the cure rate of SAP in the comprehensive rehabilitation group was higher than that in the control group, the difference was statistically significant (P0.05). The rate of rehospitalization due to SAP in the comprehensive rehabilitation group was significantly lower than that in the control group within 3 months after discharge (P0.05). Conclusion: comprehensive rehabilitation therapy for dysphagia after stroke is of great significance in improving swallowing function shortening the course of dysphagia reducing the incidence of SAP and promoting the healing of SAP and the readmission rate of SAP within 3 months after discharge from hospital.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

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