摘要
目的探讨早期康复治疗对脑梗死后吞咽功能障碍的临床效果。方法选取我院于2015年6月~2017年6月收治的86例脑梗死后吞咽障碍患者为主要研究对象,患者入组后通过抽签的方式对其进行分组,每组43例。对照组患者给予常规内科治疗,观察组在对照组常规治疗的基础上实施早期康复治疗,对两组患者的临床治疗效果进行对比分析。结果在总有效率上,观察组患者的临床治疗有效率为95.35%,对照组为81.40%相比有显著优势,两组差异有统计学意义(P<0.05);经针对性治疗后,观察组患者的VFSS评分明显优于治疗前,且与对照组相比差异有统计学意义(P<0.05);治疗后,观察组患者的血清白蛋白、血红蛋白和淋巴细胞计数均明显优于对照组(P<0.05);在治疗安全性上,观察组吸入性肺炎的发生率为2.33%,明显低于对照组的13.95%,两组数据存在显著差异(P<0.05)。结论对于脑梗死后吞咽障碍患者,在常规内科治疗的基础上对其实施早期康复治疗可获得理想的治疗效果,一方面可以提高临床治疗有效率,改善患者的吞咽障碍症状;另一方面,对患者进行早期康复治疗,安全性更高,故值得在临床上进一步推广应用。
Objective To investigate the clinical effect of early rehabilitation therapy on swallowing dysfunction after cerebral infarction. Methods Eighty-six patients with dysphagia after cerebral infarction were selected in our hospital from June 2015 to June 2017. The patients were divided into groups by lottery, with 43 cases in each group. The patients in the control group were given routine medical treatment. The observation group was given early rehabilitation therapy on the basis of routine treatment in the control group. The clinical effect of two groups of patients was compared and analyzed. Results The effective rate of clinical treatment was 95.35% in the observation group and 81.40% in the control group. The difference between the two groups was statistically significant(P < 0.05); After the treatment, the VFSS score of the patients in the observation group was significantly better than that before the treatment, and the difference was statistically significant compared with the control group(P < 0.05); After treatment, the serum albumin, hemoglobin and lymphocyte count of the patients in the observation group were significantly better than those in the control group(P< 0.05); On the safety of treatment, the incidence of aspiration pneumonia in the observation group was 2.33%, which was significantly lower than 13.95% in the control group. There was significant difference between the two groups(P < 0.05). Conclusion For patients with dysphagia after cerebral infarction, the implementation of early rehabilitation treatment on the basis of routine medical treatment can obtain ideal curative effect, one can improve the efficiency of clinical treatment, improve the symptoms of patients with dysphagia; on the other hand, for patients with early rehabilitation treatment, higher safety, so it is worthy of further promotion in the clinical application.
出处
《中国医药科学》
2018年第3期231-233,249,共4页
China Medicine And Pharmacy
关键词
早期康复治疗
脑梗死
吞咽功能障碍
治疗
效果
Early rehabilitation
Cerebral infarction
Swallowing dysfunction
Treatment
Effect
