文章摘要

基于标准吞咽功能评估下的康复训练对脑卒中吞咽功能障碍患者的影响

作者: 1顾和燕, 2李冰
1 海安市人民医院康复科,江苏 海安 226600
2 无锡市同仁康复医院康复科,江苏 无锡 214151
通讯: 李冰 Email: ss3258ss@163.com
DOI: 10.3978/j.issn.2095-6959.2021.07.008

摘要

目的:探讨基于标准吞咽功能评估下的康复训练应用于脑卒中吞咽功能障碍患者中的效果。方法:选择2017年12月至2019年12月海安市人民医院收治的脑卒中吞咽功能障碍患者98例,按照随机数字表法分为对照组与观察组,每组各49例。对照组行常规吞咽功能训练,观察组行基于标准吞咽功能评估下的康复训练。对比两组临床疗效、训练前后吞咽功能恢复情况和不良反应发生率情况。结果:观察组临床总有效率高于对照组;观察组训练后洼田氏饮水试验分级优于对照组;观察组训练后Burke评分、标准吞咽功能评估(Standardized Swallowing Assessment,SSA)量表评分均低于对照组;观察组不良反应发生率低于对照组,差异均有统计学意义(P<0.05)。结论:基于标准吞咽功能评估下的康复训练应用于脑卒中吞咽功能障碍患者中可有效改善吞咽功能,降低不良反应发生率,值得推广。
关键词: 标准吞咽功能评估;康复训练;脑卒中;吞咽功能障碍;不良反应

Efficacy of rehabilitation training on patients with stroke-swallowing dysfunction based on standard swallowing function assessment

Authors: 1GU Heyan, 2LI Bing
1 Department of Rehabilitation, Hai’an People’s Hospital, Hai’an Jiangsu 226600, China
2 Department of Rehabilitation, Wuxi Tongren Rehabilitation Hospital, Wuxi Jiangsu 214151, China

CorrespondingAuthor: LI Bing Email: ss3258ss@163.com

DOI: 10.3978/j.issn.2095-6959.2021.07.008

Abstract

Objective: To investigate the efficacy of rehabilitation training based on standard swallowing function assessment in patients with stroke-swallowing dysfunction. Methods: A total of 98 patients with stroke-swallowing dysfunction admitted to our hospital from December 2017 to December 2019 were selected and divided into two groups using the random number table method, with 49 cases in each group. The control group underwent routine swallowing function training, and the observation group underwent rehabilitation training based on standard swallowing function assessment. The clinical efficacy, the recovery of swallowing function before and after training, and the incidence of adverse reactions were compared between the two groups. Results: The total clinical effective rate of the observation group is higher than that of the control group. The Burke score and Standardized Swallowing Assessment (SSA) score of the observation group after training were lower than those of the control group. The incidence of adverse reactions in the observation group was lower than that in the control group, and the differences were statistically significant (P<0.05). Conclusion: Rehabilitation training based on standard swallowing function assessment applied to stroke patients with swallowing dysfunction can effectively improve swallowing function and reduce the incidence of adverse reactions. It is worthy of promotion.
Keywords: standard swallowing function assessment; rehabilitation training; stroke; swallowing dysfunction; adverse reactions

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