摘要
目的 观察感觉刺激对脑血管病患者吞咽功能恢复的影响.方法 将60例脑血管意外后吞咽功能障碍的患者按照随机数字表法分为研究组（30例）和对照组（30例）,对照组给予常规吞咽功能训练,研究组在此基础上给予感觉刺激训练.治疗前和治疗1个月后应用洼田饮水试验和摄食-吞咽功能等级评定对两组患者进行吞咽能力和等级的评估.结果 两组患者在性别、年龄、病程等方面差异均无统计学意义（均P〉0.05）;两组治疗前吞咽障碍评分差异无统计学意义[（3.27±1.14）分比（2.97±1.43）分,t=0.646,P〉0.05];治疗1个月后,研究组吞咽能力评分较对照组明显提高[（7.10±1.16）分比（5.07±1.55）分,t=8.046,P〈0.01）];研究组疗效明显优于对照组（90.0％比63.3％,χ2=7.638,P〈0.05）.结论 对脑血管意外后吞咽障碍的患者进行多种感觉刺激,明显好于单一治疗,能使脑血管病患者的吞咽功能得到有效改善.
Objective To observe the effect of sensory stimulation on swallowing functional recovery in patients with cerebrovascular disease .Methods 60 cerebrovascular accident patients with swallowing dysfunction were randomly divided into research group （ 30 cases ） and control group （ 30 cases ） .The control group was given conventional swallowing function training ,the research group was given sensory stimulation training on this basis of the control group .Before treatment and 1 month after treatment , kubota drinking water test and feeding -swallowing function rating were used to evaluate the swallowing ability of the two groups .Results There were no statistically significant differences between the two groups in terms of sex ,age and course of disease （all P 〉0.05）.Before treatment,the ability of swallowing between the two groups had no statistically significant difference [（ 3.27 ± 1.14）points vs.（2.97 ±1.43）points,t=0.646,P〉0.05].After 1 month of treatment,the swallowing ability score of the two groups[（7.10 ±1.16）points vs.（5.07 ±1.55）points;t=8.046,P〈0.01]and swallowing function grade （90.0％vs.63.3％,χ2 =7.638,P〈0.05） were significantly higher than those before treatment .which of the study group were more significant , and the differences between the two groups were statistically significant .Conclusion Various sensory stimulation for patients with dyspraxia after cerebrovascular accident is obviously better than monotherapy ,which can effectively improve the swallowing function of patients with cerebrovascular disease .
作者
阚弢
戴立磊
Kan Tao;Dai Lilei(Department of Rehabilitation, the First People＇s Hospital of Huzhou, Huzhou, Zhefiang 313000, China;Department of Rehabilitation, the Second People＇s Hospital of Jingmen , Jingmen ,448000 Hubei , China)
出处
《中国基层医药》
CAS
2018年第4期463-466,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
脑血管障碍
物理刺激
吞咽障碍
Cerebrovascular disorders
Physical stimulation
Swallowing disorders
