摘要
目的探討吞嚥治療結合言語治療對腦卒中致吞嚥障礙伴口顏面失用患者的治療作用。方法對18名腦卒中致吞嚥障礙伴口顏面失用的患者進行系統性的吞嚥訓練及言語訓練,分別於訓練前後對吞嚥功能及口顏面功能進行測評。結果18名患者吞嚥功能及口顏面功能均有明顯恢復,標準吞嚥功能評分由(40.5±3.5)分下降到(25.6±6.8)分,口顏面失用評分由(12.5±6.5)分上升到(33.6±5.6)分,吞嚥生存質量評分由(67.4±10.3)分上升到(125.9±9.5)分,有17位病人拔除胃管進食,1位病人能進食糊狀食物。結論吞嚥治療結合言語治療的康復療法對腦卒中後吞嚥障礙伴口顏面失用患者功能恢復有明顯的治療效果。
Objective To investigate the effects of swallowing therapy and speech therapy in patients with dysphagia and apraxia after stroke.Methods Eighteen patients with dysphagia and apraxia received systematical swallowing and speech trainings,and were evaluated on swallowing function and oral function before and after the trainings.Results Swallowing function and oral function of 18 patients were significantly improved after the trainings.SSA scores decreased from 40.5±3.5 to 25.6±6.8.Apraxia assessment scores increased from 12.5±6.5 to 33.6±5.6.The scores of The Swal-QOL increased from 67.4±10.3 to 125.9±9.5.After treatment,GI tubes were successfully removed among 17 patients,and 1 patient can sollow soft food.Conclusion The combine of swallowing therapy and speech therapy is proved to be useful to the rehabilitation of patients with dysphagia and apraxia.
作者
譚嘉升
劉中良
陳映武
張翠霞
TAN Jia Sheng;LAO Chong Leong;CHEN Ying Wu;ZHANG Cui Xia(Department of Rehabilitation,Kiang Wu Hospital,Macao,china)
出处
《镜湖医学》
2017年第2期9-11,共3页
MEDICAL JOURNAL OF KIANG WU
