临床康复治疗对脑中风吞咽障碍患者的疗效观察

摘要

Objective:the clinical rehabilitation of patients with stroke dysphagia. Methods: choose our hospital 2014 may 2015 may were 38 cases of dysphagia of stroke patients, were randomly assigned to the control group and the observation group, 19 cases in each group, while those in the control group only received the treatment of anti cholinergic drugs. At the same time with the nasal feeding and parenteral nutrition supply, the observation group on the basis of the control group with clinical rehabilitation, including swallowing training and acupuncture point stimulation. To observe the curative effect of two groups of patients, swallowing score and recovery time.Results: the total effective rate of the observation group was 93.75%, the total effective rate was 81.25%, the observation group was significantly higher than the control group, the difference was statistically significant (P < 0.05); the degree of dysphagia and the remission time of the observation group were significantly better than the control group, the difference was statistically significant (P< 0.05). Conclusion: clinical rehabilitation for stroke patients with dysphagia has a good therapeutic effect, and can effectively shorten the treatment time and reduce the patient’s recovery time to swallow and patients feel is good, it is worth clinical promotion.%目的：临床康复治疗对脑中风吞咽障碍患者的疗效。方法：选择我院2014年5月-2015年5月收治的38例脑中风吞咽障碍患者，随机分为对照组和观察组，每组19例，对照组仅接受抗胆碱药物治疗，同时配合鼻饲和静脉营养补给，观察组在对照组的基础上配合临床康复治疗，包括吞咽训练及穴位针灸刺激。观察两组患者的疗效、吞咽评分及恢复时间。结果：观察组患者治疗总有效率93.75%，对照组治疗总有效率81.25%，观察组总有效率显著高于对照组，差异有统计学意义（p<0.05）；且观察组患者的吞咽功能障碍程度及缓解时间显著优于对照组，差异有统计学意义（p<0.05）。结论：临床康复治疗对于脑中风吞咽障碍患者有着良好的治疗效果，并且能够有效缩短治疗时间，降低患者恢复吞咽时间，且患者感受较好，值得临床推广。