72例脑卒中后真性球麻痹吞咽障碍的早期康复治疗

Early Comprehensive Rehabilitation Treatment of True Bulbar Paralysis Stroke Patients with Dysphagia in 72 Cases

目的:探讨联合多种康复治疗在早期脑卒中后真性球麻痹患者吞咽障碍中的治疗效果。方法:收集我院脑卒中真性球麻痹吞咽困难患者72例,随机分为对照组和治疗组。采用洼田饮水试验进行吞咽障碍评定。对照组采用常规脑卒中药物治疗。治疗组除卒中药物治疗外,采用吞咽言语治疗仪联合吞咽功能训练的综合治疗。分别随诊饮水试验改善情况,生活质量评分情况,入院期间肺部感染发生率,平均住院时间等。结果:治疗2周后,治疗组与对照组相比洼田饮水试验改善率有显著性差异(P<0.01)。两者肺炎发生率比较具有统计学差异(P<0.01)。治疗组与对照组比较可大大缩短住院时间(P<0.01)。3个月随诊两组间mRS评分有显著差异(P<0.05)。结论:对早期脑卒中真性球麻痹引起吞咽困难患者进行综合康复治疗,可有效提高患者吞咽功能,生活质量,减少肺炎发生,缩短入院治疗时间。

Objective：To explore therapeutic efficacy of swallowing speech therapy combined with a variety of rehabilitation therapy on the early stroke dysphagia caused by the true bulbar.Methods：72 patients were random into treatment group and control group. The control group took the normal treatment of medicine.The treatment group added swallowing speech therapy instrument combined with compositive rehabilitation training based on the normal treatment of medicine.Followed-up the improvement rate of drinking water test, quality of life scores,hospital pulmonary infection rate,average hospitalization time etc.Results：After two weeks therapy, the comparison of the treatment group and control group of the improvement rate of drinking water test had statistically significant（P〈0.01）.Two groups of incidence of pneumonia had statistically significant（P〈0.01）.Two groups of the hospitalization time had statistically significant（P〈0.01）. Three months followed-up of mRS had statistically significant（P〈0.05）.Conclusion：Compositive rehabilitation training of the early stroke patients with dysphagia caused by the true bulbar effectively improved the stroke patients in swallowing function and quality of life,reduced the incidence of pneumonia,shorten the hospitalization time.