综合康复治疗在脑卒中后吞咽障碍患者中的应用

Clinical Value of Comprehensive Rehabilitation Therapy in Post-Stroke Dysphagia

目的:研究综合康复治疗应用于脑卒中后吞咽障碍患者中的价值。方法:选取高州市人民医院2017年4月至2018年1月纳入的80例脑卒中后吞咽障碍患者为研究对象,按照数字表法随机分为两组各40例,观察组采取综合康复治疗,对照组采取常规康复治疗,对比两组治疗结果。结果:观察组总有效率92.50%高于对照组80.00%,组间比较,差异具有统计学意义(P <0.05);治疗前两组的标准吞咽功能评价量表(SSA)评分比较,差异无统计学意义(P> 0.05),观察组治疗后1周、3周及5周的SSA评分均低于对照组,差异具有统计学意义(P <0.05);观察组对康复治疗的满意度(95.00%)高于对照组(82.50%),差异具有统计学意义(P <0.05)。结论:脑卒中后吞咽障碍患者采取综合康复治疗效果明显,有效改善吞咽能力,促进病情快速稳定,患者对治疗效果的满意度较高。

Objective To study the clinical value of comprehensive rehabilitation therapy in post-stroke dysphagia. Methods 80 post-stroke dysphagia patients treated from April 2017 to January 2018 in Gaozhou people’s hospital were selected and grouped by random number table, 40 cases in each group. The study group was treated with comprehensive rehabilitation therapy;the control group was treated with conventional rehabilitation therapy. The therapeutic effect was compared. Results The total effective rate in the study group(92.50 %) was higher than control group(80.00 %)(P < 0.05);before treatment, the SSA(standardized swallowing assessment) scores showed no significant difference(P > 0.05);after 1w, 3w and 5w of treatment, the SSA scores in the study group were lower than control group(P < 0.05);the nursing satisfaction in the study group(95.00%) was higher than control group(82.50 %)(P < 0.05). Conclusion The comprehensive rehabilitation therapy can remarkably improve the swallowing ability, stabilize the illness conditions and improve the nursing satisfaction.