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目的 :观察在对脑损伤后吞咽功能障碍并发认知功能障碍患者进行康复治疗过程中认知功能训练对患者吞咽功能改善程度的影响。方法 :对60例脑损伤后吞咽功能障碍患者进行综合性吞咽功能训练,对其中并发认知功能障碍的32例患者还同时进行认知功能训练。采用洼田饮水试验、标准吞咽功能评估量表和X线荧光透视吞咽检查进行吞咽功能障碍程度评定,并分析认知功能正常与障碍患者在吞咽功能改善程度上的差异。结果 :经4周康复治疗,并发认知功能障碍患者的吞咽功能改善程度不如单纯吞咽功能障碍患者,但与康复治疗前相比仍较明显。结论 :对并发认知功能障碍的吞咽功能障碍患者,认知功能的提高对其吞咽功能的改善也有重要意义。
OBJECTIVE: To observe the effect of cognitive training on the improvement of swallowing function in rehabilitation of patients with dysfunction of swallowing and cognitive dysfunction after brain injury. Methods: Sixty patients with dysphagia after brain injury were given comprehensive swallowing functional training, and 32 patients with cognitive dysfunction were also given cognitive training. The Kawada drinking water test, standard swallowing function assessment scale and X-ray fluoroscopy swallowing examination were used to assess the degree of swallowing dysfunction, and to analyze the differences in the degree of swallowing function between patients with normal cognitive function and disorder. Results: After 4 weeks of rehabilitation, patients with cognitive impairment had less improvement in swallowing function than those with dysphagia alone, but still more obvious than before rehabilitation. Conclusion: The improvement of cognitive function is also of great significance for the improvement of swallowing function in patients with swallowing dysfunction who have cognitive impairment.