目的探讨早期吞咽功能训练促进卒中患者康复的临床价值和意义。方法将108例吞咽功能障碍的卒中患者随机分为实验组(52例)和对照组(56例);实验组予以早期吞咽功能训练;对照组不予接受上述训练;两组患者的其他治疗措施均按照卒中指南进行;半年内观察两组患者发生吸入性肺炎、脱水、营养不良及死亡的情况。结果实验组吸入性肺炎发生率为15.4%,脱水及营养不良为23.1%,死亡率为13.5%。对照组吸入性肺炎发生率为32.1%,脱水及营养不良为41.1%,死亡率为32.1%。两组比较有显著性差异(P<0.05)。结论对于有吞咽功能障碍的卒中患者,早期吞咽功能训练可以有效降低吸入性肺炎的发生率,改善营养状态,降低近期(半年内)死亡率,进而提高患者的生存质量及家属的满意度。 Objective To investigate the clinical value and significance of early swallowing functional training to promote the rehabilitation of stroke patients. Methods 108 stroke patients with swallowing dysfunction were randomly divided into experimental group (52 cases) and control group (56 cases). The experimental group was given early swallowing function training while the control group was not given the above training. The other treatment measures Follow the stroke guidelines; within six months were observed in two groups of patients with aspiration pneumonia, dehydration, malnutrition and death. Results In the experimental group, the incidence of aspiration pneumonia was 15.4%, dehydration and malnutrition were 23.1%, and the mortality rate was 13.5%. In the control group, the incidence of aspiration pneumonia was 32.1%, dehydration and malnutrition were 41.1%, and the mortality rate was 32.1%. There was significant difference between the two groups (P <0.05). Conclusions For stroke patients with swallowing dysfunction, early swallowing functional training can effectively reduce the incidence of aspiration pneumonia, improve the nutritional status, and reduce the recent (within half a year) mortality, thereby improving the quality of life and the satisfaction of family members.