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三级吞咽康复治疗对脑卒中吞咽障碍患者吞咽功能恢复的影响 被引量:9

Three-stage swallowing rehabilitation for stroke patients with dysphagia
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摘要 目的探索脑卒中三级吞咽康复方案对脑卒中吞咽障碍患者吞咽功能的影响。方法选择脑卒中患者60例,随机分成康复组和对照组,每组30例。康复组给予三级吞咽康复治疗,对照组给予一般的吞咽康复治疗,2组常规内科治疗相同。2组患者分别于人选时及发病第2周末、1个月末、2个月末采用才藤分级法进行吞咽功能分级,换算成相应的评分后进行比较。结果康复组在各治疗阶段吞咽功能评分明显高于对照组(P〈0.05或0.01)。康复组在各阶段的吞咽功能评分差值明显高于对照组,得分的增长趋势明显高于对照组。结论三级吞咽康复治疗对于脑卒中患者吞咽功能的改善具有明显的促进作用。 Objective To explore !he effects of three -stage swallowing rehabilitation on the swallowing ability of stroke patients with dysphagia. Methods 60 stroke patients were divided into primary cerebral infarction and primary cerebral hemorrhage groups, then further divided into treated and control groups randomly. All groups were given the same routine internal medicine treatment. Patients in the treated group were given three stage swallowing rehabilitation training additionally. All patients were assessed using Caiteng's Grading Method at the outset and at the end of the 2nd week, the 1st month and the 2nd month. Results Swallowing function scores in the treated groups were higher than those in the control groups at every stage ( P ≤0.05 ). The treated groups' scores also improved more quickly than those in the control groups. Conclusion Three stage swallowing rehabilitation can significantly improve stroke patients' swallowing function.
出处 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2009年第4期261-263,共3页 Chinese Journal of Physical Medicine and Rehabilitation
基金 山东省交通科技计划项目(鲁交科2004)
关键词 三级吞咽康复 吞咽障碍 脑卒中 Swallowing Rehabilitation Dysphagia Stroke
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