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综合康复训练治疗脑卒中吞咽障碍的临床效果 被引量:9

Clinical effect of comprehensive rehabilitation training for stroke patients with dysphagia
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摘要 目的探讨综合康复训练治疗脑卒中吞咽障碍的临床效果。方法选取2017年1月至2018年1月我院收治的80例脑卒中吞咽障碍患者,在根据双色球随机分组模式下将其均分为对照组和观察组,每组40例。对照组实施常规治疗,观察组实施综合康复训练治疗。比较两组患者的临床效果及治疗前、后NIHSS、Burke及SWAL-QOL评分。结果实施综合康复治疗后,观察组治疗总有效率高于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者NIHSS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者Burke、SWAL-QOL评分均改善,且观察组优于对照组,差异具有统计学意义(P<0.05)。结论对脑卒中吞咽障碍患者实施综合康复训练治疗,效果显著,可促进患者神经功能显著恢复,提高吞咽功能恢复效果及患者生活质量,值得临床推广。 Objective To explore the clinical effect of comprehensive rehabilitation training for stroke patients with dysphagia.Methods A total of 80 stroke patients with dysphagia admitted in our hospital from January 2017 to January 2018 were divided into control group and observation group according to bichromosphere random grouping model, with 40 cases in each group.The control group received routine treatment, while the observation group received comprehensive rehabilitation training treatment.The clinical effects, scores of NIHSS, Burke and SWAL-QOL before and after treatment were compared between the two groups.Results After comprehensive rehabilitation treatment, the total effective rate of treatment in the observation group was higher than that in the control group, the differences was statistically significan(P<0.05).After treatment, the NIHSS score of both groups decreased, and that in the observation group was lower than that in the control group, the differences was statistically significan (P<0.05).After treatment, the scores of Burke and SWAL-QOL improved in both groups, and those in the observation group were better than the control group, the differences was statistically significan(P<0.05).Conclusion Comprehensive rehabilitation training for stroke patients with dysphagia has significant therapeutic effect can, promote the improvement of neurological function, improve the recovery effect of swallowing function and the quality of life of patients, which is worthy of promotion.
作者 褚澄 张新江 CHU Cheng;ZHANG Xin-jiang(Internal Medicine-Neurology Department,the Affiliated Hospital of Yangzhou University,Yangzhou 225000,China)
出处 《临床医学研究与实践》 2019年第1期30-32,共3页 Clinical Research and Practice
关键词 综合康复训练 脑卒中 吞咽障碍 神经功能缺损 comprehensive rehabilitation training stroke dysphagia neurological deficit
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