摘要
目的:了解综合康复治疗对脑卒中并发吞咽困难及流涎的效果。方法:对住院的27例脑卒中合并吞咽困难和流涎的患者进行吞咽有关的器官功能训练、摄食训练、针灸等综合康复治疗,评定治疗前后的疗效并进行统计学分析。结果:平均治疗21d,27例经过综合康复,显效6例,有效18例,无效3例,总有效率89%(24/27),治疗前后比较差异有显著性意义(χ2=14.0,P<0.05);15例b-e级流涎经训练后转为a-c级,流涎控制的有效率为100%,治疗前后比较差异有非常显著性意义(χ2=40,P<0.01)。治疗前后饮水试验评分与吞咽障碍评分相同。结论:临床综合康复治疗对脑卒中后吞咽困难及流涎患者的功能恢复有较好的疗效。
AIM:To investigate the influence of the comprehensive rehabilitation treatment on the dysphagia and ptyalism of stroke patients. METHODS:Twenty-seven stroke inpatients with ptyalism and dysphagia received t he comprehensive rehabilitation therapy including functional training of the org ans related with deglutition,ingestion training and acupuncture.The results befo re and after the treatment were evaluated for statistical analysis. RESULTS:In the 27 patients, the remarkable effect was observed in 6 cases,effe ct in 18 cases and no effect in 3 cases after 21-day treatment; and the total e ffective rate was 89%(24/27)(χ2=14.0,P< 0.05). The b-e grade ptyalism in 15 c ase were improved to a-c grade after training, and the effective rate of ptyali sm was 100%, there was very significant difference before and after treatment( χ2=40, P< 0.01).The scores of water drinking test and dysphagia test were the s ame before and after treatment. CONCLUSION:The comprehensive rehabilitation treatment has a better curative ef fect on the functional recovery in stroke patients with ptyalism and dysphagia.
出处
《中国临床康复》
CSCD
2004年第22期4401-4403,共3页
Chinese Journal of Clinical Rehabilitation
