论文部分内容阅读
目的 观察综合康复训练治疗脑卒中吞咽障碍患者的临床疗效.方法 选取义乌市中心医院2016年8月至2017年12月收治的脑卒中吞咽障碍患者90例为观察对象,采用随机数字表法分为两组.对照组45例,采用常规治疗;观察组45例,采用综合康复训练治疗.两组疗程均为8周.观察两组患者的神经功能缺损情况、吞咽功能、生活质量改善情况,比较两组临床疗效.结果 治疗前,两组生活质量(SAWL-QOL)评分、神经功能缺损(NIHSS)评分、吞咽功能(Burke)评分差异均无统计学意义(均P＞0.05).治疗后,观察组SAWL-QOL评分为(83.35±1.62)分,高于对照组的(74.41±2.71)分,差异有统计学意义(t=18.995,P＜0.05);观察组NIHSS评分、Burke评分分别为(2.09±0.52)分、(0.48±0.09)分,均低于对照组的(5.87±1.03)分、(3.09±0.56)分,差异均有统计学意义(t=21.977、30.869,均P＜0.05).观察组总改善率为93.33％ (33/45),明显高于对照组的73.33％ (42/45)(x2=6.480,P＜0.05);观察组吸入性肺炎发生率为8.89％ (4/45),明显低于对照组的26.67％ (12/45)(x2=4.865,P＜0.05).结论 综合康复训练治疗脑卒中吞咽障碍临床疗效显著,可促进患者神经功能及吞咽功能的改善,提高患者的生活质量.“,”Objective To observe the clinical effect of comprehensive rehabilitation training on stroke patients with dysphagia.Methods From August 2016 to December 2017,90 patients with stroke dysphagia admitted to Yiwu Central Hospital were selected.The patients were divided into two groups by random number table method,with 45 cases in each group.The control group was treated with conventional treatment.The observation group was treated with comprehensive rehabilitation training,and the course of treatment in both two groups was 8 weeks.The nerve function defect,swallowing function and quality of life improvement of the two groups were observed,and the clinical efficacy of the two groups was compared.Results Before treatment,there were no statistically significant differences in the SAWL-QOL(quality of life) score,NIHSS(neurological impairment) score and Burke(swallowing function) score between the two groups (all P ＞ 0.05).After treatment,the SAWL-QOL score of the observation group was (83.35 ±1.62) points,which was higher than that of the control group [(74.41 ± 2.71) points],and the difference was statistically significant(t =18.995,P ＜ 0.05).The NIHSS and Burke scores of the observation group were (2.09 ± 0.52) points,(0.48 ± 0.09) points,respectively,which were lower than those of the control group[(5.87 ± 1.03) points,(3.09 ± 0.56) points] (t =21.977,30.869,all P ＜ 0.05).The total improvement rate of the observation group was 93.33％ (33/45),which was significantly higher than that of the control group [73.33％(42/45)] (x2=6.480,P ＜ 0.05).The incidence of aspiration pneumonia in the observation group was 8.89％(4/45),which was significantly lower than that in the control group[26.67％ (12/45)] (x2 =4.865,P ＜ 0.05).Conclusion Comprehensive rehabilitation training has significant clinical effect on stroke dysphagia,which can promote the improvement of nerve function and swallowing function of patients and improve the quality of life of patients.