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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 investigate the effect of swallowing rehabilitation training on the level of procalcitonin (PCT) in stroke-associated pneumonia (SAP). Methods 86 cases of SAP patients admitted to the hospital were divided into control group and observation group according to random number table method, 43 cases in each group. The control group received routine rehabilitation training. The observation group was treated with swallowing rehabilitation intervention on the basis of the control group. Changes in swallowing function and daily living ability before and after intervention were measured before and after intervention in serum PCT levels in both groups. Results Before the intervention, the total effective rate of swallowing functional intervention in observation group was higher than that in control group (P <0.05). There was no significant difference in scores of swallowing function, daily living ability and quality of life before intervention (P <0.05). After intervention, the scores of the above two scales all increased, which were significantly different from those of the same group before intervention (P <0.05). The score of the observation group was higher than that of the control group after intervention (P <0.05). Before intervention, there was no significant difference in PCT level between the two groups (P> 0.05). After intervention, PCT level in the observation group was lower than that in the control group (P <0.05). Conclusions The intervention of swallowing rehabilitation training on SAP can improve the swallowing function, reduce the PCT level and improve the quality of life.