康复治疗对脑卒中后吞咽障碍的临床效果研究

Clinical therapeutic effect of rehabilitative therapy on dysphagia after cerebral stroke

目的:探讨综合康复治疗对急性脑卒中后吞咽障碍的临床治疗效果。方法:选择我院自2011年6月到2012年6月收治的78例急性脑卒中后吞咽障碍的患者为研究对象,随机分为Vitalstim电刺激配合吞咽训练(康复治疗组)组及传统吞咽训练(常规训练组)组,每组各39例,分别于治疗前后应用洼田氏饮水试验,观察比较治疗效果并进行统计学分析。结果:康复治疗组的总有效率显著高于常规训练组(92.3%比74.3%,χ2=4.191,P=0.041);康复治疗组的吞咽功能评分平均下降幅度显著高于常规训练组[(2.0±0.5)分比(1.1±0.6)分,t=5.284,P=0.032]。结论:综合康复训练能够显著改善脑卒中所导致的吞咽障碍。

Objective：To explore the clinical therapeutic effect of comprehensive rehabilitative treatment on dyspha-gia after acute cerebral stroke .Methods ：A total of 78 patients with dysphagia after acute cerebral stroke ,who visited to our hospital from Jun 2011 to Jun 2012 ,were selected ,randomly and equally divided into Vitalstim electrical stimulus plus swallowing training group （rehabilitation treatment group ） and traditional swallowing training group （routine training group） .Patients received Kubota＇s water drinking test before and after treatment .Therapeutic effects were observed ,compared and statistically analyzed .Results：Total effective rate of rehabilitation treatment group was significantly higher than that of routine training group （92.3% vs .74.3% ,χ2 = 4.191 , P= 0.041 ）;mean declining amplitude of swallowing function score in rehabilitation group was significantly higher than that of routine training group [ （2.0 ± 0.5） scores vs .（1.1 ± 0.6） scores , t=5.284 , P=0.032] .Conclusion：Comprehen-sive rehabilitation training can significantly improve dysphagia caused by cerebral stroke .