| 刘诗丹,陈启波,李荣祝,陈秋华.综合康复训练治疗脑卒中吞咽障碍患者的临床疗效观察[J].中国康复医学杂志,2013,28(6):569~573 |
| 综合康复训练治疗脑卒中吞咽障碍患者的临床疗效观察 点此下载全文 |
| 刘诗丹 陈启波 李荣祝 陈秋华 |
| 广西壮族自治区人民医院康复科，广西南宁市，530021 |
| 基金项目： |
| DOI： |
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| 摘要
目的：观察综合康复训练治疗150例脑卒中吞咽障碍患者的临床疗效。
方法：150例脑卒中吞咽障碍患者随机分为常规治疗组、康复基础训练组、针灸治疗组、低频电治疗组及综合康复组，各组患者分别予以常规治疗、康复基础训练、针灸治疗、低频电治疗及综合康复治疗。治疗前、治疗4周及8周均以NIHSS评分、Burke评分、VFSS评分及Rosenbek分级进行吞咽功能评定，疗程结束后评定疗效。
结果：各治疗方式均能改善患者吞咽障碍，治疗8周的疗效优于治疗4周，但综合康复治疗组的美国国立卫生研究院脑卒中量表（NIHSS）评分、Burke吞咽障碍筛查量表评分、吞咽X线荧光透视检查（VFSS）评分及Rosenbek渗透-误吸量表分级均显著优于其他各组(P<0.05)；各组总有效率分别为56.7%、73.3%、80.0%、83.3%、93.3%，综合康复治疗组的有效率显著高于其他各组(P<0.05)。
结论：综合康复治疗可以显著改善脑卒中患者的吞咽功能及进食能力，其疗效优于单纯康复训练、针灸及低频电治疗，值得临床推广应用。 |
| 关键词：综合康复训练 脑卒中 吞咽障碍 |
| Clinical observation on stroke patients with dysphagia treated by comprehensive rehabilitation training Download Fulltext |
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| Renmin Hospital of Guangxi Zhuang Autonomous Region,530021 |
| Fund Project: |
| Abstract: |
| Abstract
Objective:To observe the clinical observation on 150 cases of stroke patients with dysphagia treated by comprehensive rehabilitation training.
Method:One hundred and fifty stroke patients with dysphagin were divided into five groups randomly. They were treated with conventional treatment, rehabilitation training, acupuncture therapy, low frequency electrotherapy and comprehensive rehabilitation therapy respectively. Swallowing function evaluation was administered with National Institutes of Health stroke scoke（NIHSS）, Burke scale, video fluoroscopis swalloming study（VFSS） and Rosenbek grade, before lreatment, and effer 4-week and 8-week treatment. The curative effect was evaluated at the end of treatment.
Result:After treatments patients' dysphagia improved, NIHSS score, Burke score, VFSS score and Rosenbek grade in comprehensive rehabilitation therapy group were better than that in other groups(P<0.05). The total effective rate of all groups were 56.7%,73.3%,80.0%,83.3% and 93.3% respectively. The effective rate of comprehensive rehabilitation therapy group was also superior to that of other groups(P<0.05).
Conclusion:Comprehensive rehabilitation therapy can significantly improve stroke patients' swallowing function and ability of eating. The clinical effect of this comprehensive treatment is better than that of simple acupuncture and low frequency electrotherapy, and it is worthy of clinical application. |
| Keywords:comprehensive rehabilitation therapy stroke dysphagia |
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