综合康复训练治疗脑卒中吞咽障碍患者的临床疗效分析

Comprehensive Rehabilitation Training for the Treatment of Stroke Patients with Dysphagia

目的探究综合康复训练治疗脑卒中吞咽障碍患者的治疗效果。方法该次研究中方便抽取该院收治的64例脑卒中吞咽障碍患者作为研究对象,患者入院时间为2016年5月—2017年7月,64例患者按照治疗方法的差异性均分为观察和对照两组,各组入选32例。对照组治疗方法为基础治疗,观察组治疗方法为综合康复训练,待两组患者完成治疗后比较两组患者的临床效果。结果 (1)观察组和对照组治疗总有效率分别为96.88%和81.25%,组间数据差异有统计学意义(χ~2=4.010 0,P<0.05);(2)两组患者治疗前NIHSS分数经对比差异无统计学意义(t=0.031 9,P>0.05);治疗后NIHSS分数经对比差异有统计学意义(t=18.330 2,P<0.05);(3)两组患者治疗前Burke分数经对比差异无统计学意义(t=0.086 0,P>0.05);治疗后Burke分数经对比差异有统计学意义(t=32.234 2,P<0.05)。结论将综合康复训练应用于脑卒中吞咽障碍患者中疗效确切,有助于吞咽功能的改善。

Objective To explore the therapeutic effect of comprehensive rehabilitation training for stroke patients with dysphagia.Methods 64 stroke patients with dysphagia treated in the hospital were randomly selected for this study.The time of admission was from May 2016 to July 2017.64 patients were divided into observation and control group according to the differences in treatment methods,with 32 cases in each group.The treatment method in the control group was based on treatment,and the treatment method in the observation group was comprehensive rehabilitation training.After the two groups of patients completed the treatment,the clinical effects of the two groups of patients were compared.Results 1.The total effective rate of observation group and control group were 96.88%and 81.25%respectively.The data between groups was(χ2=4.010 0,P<0.05);2.The NIHSS scores before treatment in both groups were compared without statistics significance(t=0.031 9,P>0.05);NIHSS scores after treatment were statistically significant(t=18.330 2,P<0.05);3.Burke scores before treatment in the two groups were not statistically significant(t=0.086 0,P>0.05);Burke's score after treatment was statistically significant(t=32.234 2,P<0.05).Conclusion The comprehensive rehabilitation training is effective in stroke patients with dysphagia,which contributes to the improvement of swallowing function.