摘要
目的:探讨脑卒中吞咽障碍合并认知功能缺损康复训练的方法及疗效。方法:60例脑卒中吞咽障碍合并认知功能缺损的患者,随机分为两组,对照组给予吞咽功能训练并行针灸治疗;治疗组在对照组治疗方法基础上进行认知功能的评定、训练和心理疏导。结果:治疗组经认知功能训练后MMSE评分有显著提高(P<0.01),治疗后田洼氏评分明显高于对照组(P<0.05)。结论:对于脑卒中吞咽障碍合并认知功能缺损的患者,进行康复训练的同时,积极进行认知功能的训练和心理疏导,更利于吞咽功能障碍的恢复。
Objective： To assess the effect of cognitive functional evaluation and training on the outcomes for swallowing disorder and cognition functional impairment after stroke. Methods： Sixty patients with dysphagia after stroke were randomly divided into two groups： control group （30 patients administrated swallowing functional training and acupuncture therapy）; treatment group （30 patients accepted cognitive-sentiment functional training and psycho therapy except therapy of control group）. Results： The MMSE score of treatment group raised significantly （P〈0.01）, the WangTianShi scores improved （P〈0.05） compared with control group in treatment group after cognitive-sentiment functional training. Conclusion： The cognition functional training and psychotherapy above the swallowing functional training facilitate the rehabilitation of swallowing disorder in patients with dysphagia and cognition handicap after stroke.
出处
《心血管康复医学杂志》
CAS
2007年第1期5-7,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
脑血管意外
吞咽障碍
认知障碍
Cerebrovascular accident
Swallowing disorder
Cognitive handicap
