《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (03): 255-256.

• 临床研究 • 上一篇    下一篇

急性脑卒中患者吞咽障碍早期康复

崔燕;元小冬   

  1. 华北煤炭医学院附属开滦医院神经内科神经康复室，河北唐山市 063000
  • 收稿日期:2009-02-21 出版日期:2009-03-01 发布日期:2009-03-01

Early Rehabilitation for Dysphagia after Acute Stroke

CUI Yan, YUAN Xiao-dong   

  1. Rehabilitational treatment Lab, Department of Neurology, The Kailuan General Hospital Affiliated to North China Coal Medical University, Tangshan 063000, Hebei, China
  • Received:2009-02-21 Published:2009-03-01 Online:2009-03-01

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摘要： 目的 研究急性脑卒中患者吞咽功能障碍早期康复治疗的临床价值。方法 急性脑卒中导致吞咽功能障碍的患者126例，分为康复组63例和对照组63例，康复组入院后立即开始吞咽功能康复和摄食训练。在入院时和治疗1个月后进行洼田饮水试验评价。结果 康复组患者的吞咽和摄食功能明显优于对照组（P<0.01）,吸入性肺炎发生率明显低于对照组（P<0.01）。结论 对具有吞咽功能障碍的急性脑卒中患者进行早期康复治疗可以明显改善其吞咽功能，降低吸入性肺炎的发生率。

关键词: 急性脑卒中, 吞咽障碍, 早期康复

Abstract: Objective To study the effect of early rehabilitation on dysphagia in the patients with acute stroke. Methods 126 patients with acute stroke were divided into 2 groups: rehabilitation group (n=63) and control group (n=63). The rehabilitation group was trained with the swallowing function immediately after inhospital. They were evaluated with the drinking water test before and a month after treatment. Results The swallowing function improved in the rehabilitation group (P<0.01), and the incidence of aspiration pneumonitis decreased (P<0.01) compared with those in the control group. Conclusion Early rehabilitation of dysphagia in the patients of acute stroke can improve the function of swallowing, and reduce the incidence of aspiration pneumonitis.

Key words: acute stroke, dysphagia, early rehabilitation