脑梗死后吞咽障碍患者个体化吞咽训练的疗效

Effect of individual deglutition training on dysphagia after stroke

目的探讨脑梗死后吞咽障碍个体化康复训练的方法和疗效。方法将57例患者随机分为2组:观察组32例和对照组25例,2组除内科常规治疗外,观察组根据不同的吞咽障碍点进行个体化吞咽障碍训练,对照组采用基础吞咽训练。结果观察组经过4周的康复训练,吞咽能力较对照组有明显提高,疗效差异有统计学意义,P<0.05。结论个体化吞咽障碍训练能明显提高患者的吞咽能力,加强吞咽再学习训练疗效,个体化吞咽障碍训练对脑梗死后吞咽障碍的疗效明显优于基础吞咽训练。

Objective To evaluate the method and effect of individual deglutition training on dysphagia after stroke. Methods Fifty-seven patients with dysphagia after stroke were randomized into observation group （32 patients receiving individual deglutition training and routine therapy of neurology）and control group（25 patients receiving basic deglutition training and routine therapy of neurology）. Results After treatment for 4 weeks, the score of dysphagia in observation group were higher than that in control group （P（0. 05）. Conclusion Individual deglutition training is superior to basic deglutition training in improving the swallowing function of the patients with dysphagia after stroke.