首页|标准吞咽功能评估下吞咽康复训练对脑卒中吞咽功能障碍患者康复效果的研究

标准吞咽功能评估下吞咽康复训练对脑卒中吞咽功能障碍患者康复效果的研究

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目的 研究根据标准吞咽功能评估结果对脑卒中吞咽功能障碍患者施加吞咽康复训练的效果。方法 60例脑卒中吞咽功能障碍患者作为研究对象,根据患者的入院顺序分为观察组、对照组,各30例。对照组采取基础护理及常规康复训练,观察组采用标准吞咽功能评估下吞咽康复训练。对比两组患者康复效果、康复训练前后营养指标、康复训练后不良事件发生情况。结果 观察组患者总康复率显著高于对照组(P<0。05),其中,观察组总康复率为96。67%,对照组总康复率为76。67%。康复训练前,两组血清白蛋白、血红蛋白、甘油三酯、前白蛋白、转铁蛋白对比无显著差异(P>0。05);康复训练后,观察组血清白蛋白(39。22±1。92)g/L、血红蛋白(107。11±6。12)g/L、前白蛋白(0。32±0。01)g/L、转铁蛋白(2。77±0。21)g/L显著高于对照组的(35。23±1。21)、(95。31±6。21)、(0。24±0。03)、(2。54±0。25)g/L,甘油三酯(1。42±0。51)mmol/L低于对照组的(1。65±0。32)mmol/L(P<0。05)。观察组康复训练后不良事件发生率3。33%低于对照组的23。33%(P<0。05)。结论 对于脑卒中吞咽功能障碍患者而言,标准吞咽功能评估下行吞咽康复训练能够满足患者需求,对改善患者相关症状有一定帮助,故而可推广该模式。
Study on effect of swallowing rehabilitation training under standard swallowing function assessment on stroke patients with swallowing dysfunction
Objective To study the effect of swallowing rehabilitation training under standard swallowing function assessment on stroke patients with swallowing dysfunction. Methods A total of 60 stroke patients with swallowing dysfunction were selected as the research subjects. According to the order of admission,they were divided into an observation group and a control group,with 30 cases in each group. The control group was given basic care and routine rehabilitation training,and the observation group was given swallowing rehabilitation training under standard swallowing function assessment. Comparison was made on the rehabilitation effect,nutritional indexes before and after rehabilitation training,and the occurrence of adverse events after rehabilitation training between the two groups. Results The total recovery rate of patients in the observation group was significantly higher than that of the control group (P<0.05),in which the total recovery rate of the observation group was 96.67% and the total recovery rate of the control group was 76.67%. Before rehabilitation training,there were no significant differences in serum albumin,hemoglobin,triglyceride,prealbumin and transferrin between the two groups (P>0.05). After rehabilitation training,the observation group had serum albumin of (39.22±1.92) g/L,hemoglobin of (107.11±6.12) g/L,prealbumin of (0.32±0.01) g/L,and transferrin of (2.77±0.21) g/L,which were significantly higher than (35.23±1.21),(95.31±6.21),(0.24±0.03),and (2.54±0.25) g/L in the control group;the triglyceride of (1.42±0.51) mmol/L in the observation group was lower than (1.65±0.32) mmol/L in the control group (P<0.05). The incidence of adverse events after rehabilitation training was 3.33% in the observation group,which was lower than 23.33% in the control group (P<0.05). Conclusion For stroke patients with swallowing dysfunction,swallowing rehabilitation training under standard swallowing function assessment can meet the needs of patients and help to improve the related symptoms of patients. Therefore,this model can be popularized.

Standard swallowing function assessmentSwallowing rehabilitation trainingStrokeSwallowing dysfunctionRehabilitation effect

陈思萍

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364000 厦门大学附属龙岩中医院

标准吞咽功能评估 吞咽康复训练 脑卒中 吞咽功能障碍 康复效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(20)