摘要
吞咽功能障碍是脑卒中患者最严重、最常见的并发症,常表现为吞咽困难、咳嗽反射减弱、呛咳、误吸及卒中相关肺炎等,严重影响患者身心健康和生存质量,甚至危及生命。研究表明,在常规康复训练基础上辅以呼吸训练,能显著改善患者的吞咽功能和肺功能,减少卒中相关肺炎的发生,并减轻呼吸困难,值得临床推广。本文梳理近年来呼吸训练改善卒中后吞咽功能障碍研究进展,以期为临床治疗卒中后吞咽功能障碍提供客观依据及新的治疗思路。
Swallowing dysfunction is one of the most common complications in stroke patients,mainly manifested as changes in swallowing efficiency and safety,often causing patients to experience dysphagia,nutrient absorption disorders,coughing when drinking or eating,and aspiration pneumonia.A series of adverse reactions,even life-threatening,seriously affect the physical and mental health and quality of life of patients.Studies have shown that respiratory training supplemented by routine rehabilitation training can significantly improve patients'swallowing function and lung function,reduce the occurrence of stroke-related pneumonia,and alleviate dyspnea,which is worthy of clinical promotion.This article reviews the progress of respiratory training in the treatment of dysphagia after stroke in recent years at home and abroad,in order to provide an objective basis for clinical treatment of dysphagia after stroke.
作者
李永平
韩婷婷
陈德鸿
张宏韬
蒋尚融
LI Yongping;HAN Tingting;CHEN Dehong;ZHANG Hongtao;JIANG Shangrong(Department of Rehabilitation Medicine,Gansu Provincial People's Hospital,Lanzhou 730000,China)
出处
《反射疗法与康复医学》
2024年第8期192-195,共4页
Reflexology And Rehabilitation Medicine
基金
甘肃省自然科学基金项目(22JR5RA686)
关键词
脑卒中
呼吸训练
吞咽功能障碍
Stroke
Respiratory training
Swallowing dysfunction
作者简介
李永平(1987-),男,甘肃兰州人,本科,主管康复治疗师,研究方向:神经系统疾病康复治疗;通信作者:蒋尚融(1984-),女,甘肃兰州人,硕士研究生,副主任医师,研究方向:神经系统疾病康复治疗,邮箱:jjsr007@hotmail.com。