冰棉签刺激和维生素C刺激对脑梗死后吞咽障碍患者康复训练效果的影响
| 作者: |
1范慧,
1浦雪荣,
1肖婷婷
1 阜阳市第二人民医院神经内科，安徽 阜阳 236000 |
| 通讯: |
范慧
Email: 254802923@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.08.021 |
| 基金: | 阜阳市卫生局立项科研项目(201344)。 |
摘要
目的：探讨冰棉签刺激和维生素C刺激对脑梗死后吞咽障碍患者的康复治疗效果。方法：选取阜阳市第二人民医院神经内科收治的脑梗死后吞咽障碍患者60例，随机分为观察组与对照组(每组各30例)。在常规吞咽训练的基础上，对照组采取冰棉签刺激训练，观察组采取维生素C刺激训练。治疗1周后采用洼田饮水实验评价吞咽功能，比较两组治疗效果及不良反应。结果：治疗后，观察组有效率(86.67%)明显高于对照组(56.67%，P<0.05)。观察组洼田饮水试验评分低于对照组(P<0.05)。观察组恶心、呛咳的发生率均低于对照组(P<0.05)。结论：维生素C刺激训练能有效改善脑梗死后吞咽障碍患者的吞咽功能，提高康复效果，值得临床推广。
关键词：
脑梗死；吞咽障碍；康复训练；冰棉签刺激；维生素C
Effects of ice cotton swab stimulation and vitamin C stimulation on rehabilitation training effect for dysphagia patients after cerebral infarction
CorrespondingAuthor: FAN Hui Email: 254802923@qq.com
DOI: 10.3978/j.issn.2095-6959.2019.08.021
Foundation: This work was supported by Fuyang City Health Bureau Project Research Project, China (201344).
Abstract
Objective: To investigate the influence of ice cotton swab stimulation and vitamin C stimulation on rehabilitation treatment effect for dysphagia patients after cerebral infarction. Methods: A total of 60 patients with dysphagia after cerebral infarction who were admitted to the hospital were randomly divided into an observation group and a control group (30 cases for each). On the basis of routine swallowing training, the control group was trained with ice cotton swabs, while the observation group was trained with vitamin C stimulation. After 1 week of treatment, the swallowing function was evaluated by Watian drinking water test. The curative effects and adverse reactions of the two groups were compared. Results: After the treatment, the response rate of the observation group was significantly higher than that of the control group (86.67% vs 56.67%, P<0.05). The score of Watian drinking water test in the observation group was lower than that of the control group (P<0.05). The incidence of nausea and cough in the observation group was lower than that in the control group (P<0.05). Conclusion: Vitamin C stimulation training can effectively improve the swallowing function and the rehabilitation effect of patients with dysphagia after cerebral infarction.
Keywords：
cerebral infarction; dysphagia; rehabilitation training; ice cotton swab stimulation; vitamin C