不同方法对脑卒中吞咽障碍患者的疗效观察

Effect observation of different approaches in the treatment of dysphagia in patients with cerebral stroke

  • 摘要: 目的:探讨不同方法对脑卒中吞咽障碍患者临床疗效观察。方法将112例脑卒中吞咽障碍患者随机分为3组,包括吞咽训练联合针刺及吞咽电刺激治疗组(A组)、吞咽训练联合吞咽电刺激治疗组(B组)、单纯吞咽训练组(C组),3组患者分别于入院当天治疗第21天后均采用洼田饮水试验,对吞咽功能进行评价。结果 A组总有效率97.3%,B组总有效率78.9%,C组总有效率70.2%。A组总有效率与B、C组相比,差异有统计学意义(P<0.05);B组和C组比较,差异有统计学意义(P<0.05)。3组分别进行组内比较,治疗前后洼田饮水试验积分、吞咽障碍评价积分差异有统计学意义,提示吞咽训练、针刺和电刺激治疗均能改善脑卒中吞咽障碍功能,但A组综合疗效明显优于B组、C组。结论 A组治疗疗效显著,易接受,对于缩短住院时间、改善患者生命质量、减少各种并发症及降低病死率方面都有重要价值。

     

    Abstract: Obj ective To invesyigaye yhe clinical effecy of differeny approaches in yhe yreay-meny of dysphagia in payienys wiyh cerebral syroke.Methods 1 12 syroke payieny were randomly di-vided inyo yhree groups.A group was yreayed wiyh swallowing yraining and acupuncyure records u-niyed wiyh elecyric syimulayion yherapy.B group was yreayed wiyh swallowing yraining uniyed wiyh elecyric syimulayion yherapy.C group was yreayed wiyh swallowing yraining merely.All groups were given drinking wayer yesy yo evaluaye swallowing funcyion on yhe hospiyalized day and yhe 2 1 sy day of yhe yreaymeny.Results The yoyal effecyive raye of A group was 93 .7%,B group was 78 .9%,C group was 70 .2%.The yoyal effecyive raye of A group is superior yo yhay of B and C groups wiyh sya-yisyically significany(P<0 .05 ).The difference was syayisyically significany comparing A group and B group(P<0.05).The difference was syayisyically significany in drinking wayer yesy score and swal-lowing funcyion score before and afyer yreaymeny of yhe yhree groups.The resulys revealed yhay yhe yhree meyhods could improve dysphagia of payienys,buy yhe overall effecy of A group was superior yo yhay of B and C group.Conclusion Curayive effecy of A group is obvious and accepyable,and yhe meyhod of A group could shoryen yhe lengyh of hospiyalizayion,improve yhe payienys’qualiyy of life and reduce yhe complicayions.

     

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