吞咽功能障碍训练配合构音障碍训练对脑卒中后吞咽障碍的康复效果

Rehabilitation effect of training on dysphagia and dysarthria for patients with dysphagia after stroke

目的探究吞咽功能障碍训练配合构音障碍训练对脑卒中后吞咽障碍的康复效果。方法随机选取2018年9月至2019年9月于本院住院治疗的脑卒中后吞咽障碍的患者78例为研究对象,按照随机数字表法将其分为研究组与对照组,各39例。研究组接受吞咽功能障碍训练和构音障碍训练,对照组接受常规康复训练。比较两组疗效。结果研究组总治疗效率为89.74%(35/39),对照组为69.23%(27/39),差异具有统计学意义(P<0.05)。两组治疗后不同时点洼田饮水、NHISS评分不断降低(均P<0.05),VFSS、FOIS评分不断升高(均P<0.05),且研究组在治疗1、2、4周的洼田饮水、NHISS评分均低于对照组(均P<0.05),VFSS、FOIS评分高于对照组(均P<0.05)。结论吞咽功能障碍训练配合构音障碍训练可有效改善脑卒中后吞咽障碍患者的吞咽及神经功能,对患者言语功能的提升具有积极作用。

Objective To explore the rehabilitation effect of training on dysphagia and dysarthria for patients with dysphagia after stroke.Methods From September,2018 to September,2019,78 patients with post-stroke dysphagia were randomly selected.According to the random number table method,they were divided into a study group and a control group,with 39 cases in each group.The study group took training on dysphagia and dysarthria,and the control group took routine rehabilitation training.The therapeutic effects of the two groups were compared.Results The total therapeutic efficacy of the study group was 89.74%(35/39),and that of the control group was 69.23%(27/39)(P<0.05).The scores of drinking water and NHISS decreased(all P<0.05)and the scores of VFSS and FOIS increased(all P<0.05)in both groups after the treatment.One,two,and four weeks after the treatment,the scores of drinking water and NHISS were lower and the scores of VFSS and FOIS were higher in the study group than in the control group(all P<0.05).Conclusion Training on dysphagia and dysarthria can effectively improve the swallowing,nerve,and speech functions of patients with dysphagia after stroke.