脑梗死后吞咽障碍55例的康复治疗体会

来源 :中国实用医药 | 被引量 : 0次 | 上传用户:chenhuaxys
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目的探讨脑梗死后吞咽障碍患者的康复训练方法及临床效果。方法选择近年来诊治的脑梗死后吞咽障碍患者55例,对其进行系统的摄食-吞咽功能训练,并观察临床效果。结果经过6~8周的康复训练,54例患者吞咽功能均有不同程度的恢复。其中轻度吞咽困难15例全部痊愈;中度吞咽困难21例中痊愈17例,好转4例;重度吞咽困难19例中痊愈13例,好转5例,1例效果不明显。结论对吞咽障碍患者进行系统的摄食-吞咽功能训练,能提高吞咽反射的灵活性,防止咽下肌群发生废用性萎缩,尽早恢复患者的吞咽功能。这对提高患者生活自理能力,改善生活质量,促进疾病的康复有重要意义。 Objective To investigate the rehabilitation training methods and clinical effects of patients with swallowing disorders after cerebral infarction. Methods Fifty-five patients with dysphagia after cerebral infarction who were diagnosed and treated in recent years were enrolled in this study. Their food intake and swallowing function were systematically observed and their clinical effects were observed. Results After 6 to 8 weeks of rehabilitation training, 54 patients swallowing function has varying degrees of recovery. Among them, mild dysphagia was cured in 15 cases, moderate in 21 cases, 17 cases were cured, 4 cases were improved, 13 cases were cured in 19 cases with severe dysphagia, 5 cases were improved, and 1 case was not obvious. Conclusion The systematic ingestion and swallowing training of patients with dysphagia can improve the swallowing reflex flexibility, prevent the swallowing of the swallowing muscles and restore swallowing function as soon as possible. This is to improve the ability of patients to take care of themselves and improve the quality of life and promote the rehabilitation of the disease is of great significance.
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