摘要
目的探讨吞咽康复训练对卒中相关性肺炎(SAP)降钙素原(PCT)水平的影响。方法将该院收治的86例SAP患者按随机数字表法分为对照组与观察组各43例,对照组采用常规康复训练,观察组在对照组基础上加用吞咽康复训练干预,比较二组干预前后吞咽功能及日常生活能力的变化,测定干预前后二组血清PCT水平。结果观察组吞咽功能干预总有效率高于对照组,对比差异有统计学意义(P<0.05);干预前,二组吞咽功能评分、日常生活能力评分及生活质量评分对比差异无统计学意义(P>0.05),干预后,二组上述各量表评分均上升,与同组干预前比较差异有统计学意义(P<0.05),观察组干预后评分高于对照组(P<0.05);干预前,二组PCT水平对比差异无统计学意义(P>0.05),干预后,观察组PCT水平低于对照组(P<0.05)。结论采用吞咽康复训练干预SAP有助于改善患者吞咽功能,下调PCT水平,提升其生活质量。
Objective To explore the effect of swallowing rehabilitation training on procalcitonin（PCT）levels in patients with stroke associated pneumonia（SAP）.Methods A total of 86 patients with SAP inauthor＇s hospital were randomly divided into the control group and the observation group,43 cases in each group.The control group was given routine rehabilitation training,while the observation group was given swallowing rehabilitation training,on the basis of the control group.The changes of swallowing function and daily living ability were compared between the two groups before and after the intervention,and the serum PCT levels in the two groups were determined before and after intervention.Results The total effective rate of swallowing function intervention in the observation group was higher than that in the control group（P〈0.05）.Before the intervention,there was no significant difference in the scores of swallowing function,daily living ability and quality of life between the two groups（P〉0.05）.After intervention,the scores in the two groups were significantly higher than those before the intervention（P〈0.05）,and the scores in the observation group after the intervention were higher than those in the control group（P〈0.05）.Before intervention,there was no significant difference in PCT levels between the two groups（P〉0.05）,and the PCT levels in the observation group were lower than the control group（P〈0.05）.Conclusion To use swallowing rehabilitation training to intervene SAP can improve the swallowing function,decrease PCT levels and improve the quality of life of the patients.
出处
《中国煤炭工业医学杂志》
2017年第2期132-135,共4页
Chinese Journal of Coal Industry Medicine
基金
青岛市卫生和计划生育委员会(编号:2014-WJZD122)
关键词
卒中相关性肺炎
吞咽训练
康复训练
降钙素原
Stroke associated pneumonia
Swallowing training
Rehabilitation training
Procalcitonin
