脑卒中后言语吞咽功能障碍的综合康复治疗

目的探讨脑卒中患者综合性言语、吞咽功能障碍康复训练的效果。方法对60例脑卒中后吞咽功能障碍患者作前瞻性研究，将其分为综合训练组30例和对照组30例，均给予常规药物治疗和吞咽功能康复训练，综合训练组在此基础上同时进行言语康复训练、低频电刺激、针灸和心理干预治疗。以吞咽功能障碍程度、经口进食量（FOIS）分级评分、日常生活量表评分评定疗效。结果两组患者吞咽功能障碍均得到改善，但综合训练组疗效、FOIS分数和日常生活量表评分均优于对照组，差异有统计学意义（P〈0．05）。结论综合性言语、吞咽康复训练能提高脑卒中患者吞咽障碍的治疗效果。

Objective To investigate the effects of comprehensive training method on dysphagia disease, combining feeding - swallowing training, acupuncture, speech training, electrical stimulation and psychological intervention. Method Sixty patients with dysphagia after stroke were divided into control group and tested group randomly. Both groups were given conventional medical treatment and functional swallowing training. Tested group was managed with acupuncture, speech training, electrical stimulation and psychological intervention in addition. The severity of dysphagia and the function of oral intake was evaluated with functional oral intake scale（FOIS）. Result Scores of FOIS improved in both groups,and the effect was better in tested group thanthat in control group（ P 〈 0. 05 ）. Conclusion The comprehensive training method, combinating of feeding - swallowing training, acupuncture, speech training, electrical stimulation and psychological intervention, can improve the function of oral intake and deglutition of patients with dysphagia after stroke more effectively.