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目的观察综合康复训练治疗脑卒中吞咽障碍(DD)患者的临床疗效。方法选取医院收治的112例脑卒中DD患者,根据不同治疗方案将其分为行常规治疗的对照组(52例),行综合康复训练治疗的观察组(60例),参照美国国立卫生研究院脑卒中量表(NIHSS)对2组神经功能缺损程度予评估,采用Burke吞咽障碍量表对2组吞咽障碍情况予评分,参照吞咽特异性生活质量量表(SWAL-QOL)对2组生活质量评估。结果 2组治疗后NIHSS、Burke评分均较治疗前降低,且观察组降低幅度大于对照组(P均<0.05);2组治疗后生活质量均较治疗前改善,且观察组改善情况优于对照组(P均<0.05)。结论脑卒中DD患者行综合康复训练治疗,可有效降低神经缺损程度,并改善患者吞咽功能,从而提高生活质量。
Objective To observe the clinical effect of comprehensive rehabilitation training on stroke patients with swallowing dysfunction (DD). Methods One hundred and twenty-two patients with stroke DD were enrolled in this study. They were divided into two groups: control group (n = 52) and rehabilitation group (n = 60). According to the National Institutes of Health Stroke Scale (NIHSS) was used to evaluate the degree of neurological deficit in the two groups. The Burke Swallowing Disorder Scale was used to assess the two groups of swallowing disorders. The SWAL-QOL was used to evaluate the quality of life Evaluation. Results After treatment, the NIHSS and Burke scores of both groups were lower than those before treatment, and the reduction in the observation group was greater than that of the control group (all P <0.05). The quality of life of the two groups was better than that before treatment, and the improvement in the observation group was better than that of the control group Group (all P <0.05). Conclusions Comprehensive rehabilitation training for DD patients with stroke can effectively reduce the degree of nerve defects and improve the swallowing function of patients so as to improve the quality of life.