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目的总结脑梗死吞咽障碍的康复治疗经验,探讨电刺激疗法在促进吞咽功能康复中的作用。方法2007年1月～2009年1月电力医院康复科治疗脑梗死吞咽障碍患者78例,随机分为具有可比性的两组,各39例。试验组除了和对照组采用相同的护理、康复训练及针灸治疗外,还加用吞咽言语诊治仪进行低频脉冲电刺激治疗。两组患者治疗前后均采用日本洼田俊夫的饮水试验进行吞咽能力评定[1],并进行统计学对比分析。结果治疗前两组患者的吞咽能力差异无统计学意义(P>0.05);经过4周康复治疗及护理,两组患者吞咽能力均比治疗前有明显改善;试验组吞咽能力改善及总有效率明显优于对照组,差异均具有统计学意义(P<0.05)。结论综合康复训练及护理,是脑梗死吞咽障碍患者康复的有效措施。吞咽言语诊治仪能明显提高患者的康复疗效。
Objective To summarize the experience of rehabilitation treatment of swallowing disorders in cerebral infarction and to explore the role of electrical stimulation in the rehabilitation of swallowing function. Methods From January 2007 to January 2009, 78 patients with dysphagia caused by cerebral infarction in Rehabilitation Hospital of Electric Power Hospital were randomly divided into two groups of 39 patients. In addition to the experimental group and the control group using the same care, rehabilitation training and acupuncture treatment, but also with the swallowing speech diagnosis instrument for low-frequency pulse electrical stimulation treatment. Before and after treatment, both groups were evaluated by the Japanese Kubota Junfu drinking water test swallowing ability [1], and statistical analysis. Results There was no significant difference in the swallowing ability between the two groups before treatment (P> 0.05). After 4 weeks of rehabilitation and nursing, the swallowing ability of both groups was significantly improved compared with that before treatment. The improvement of swallowing ability and total effective rate Obviously superior to the control group, the differences were statistically significant (P <0.05). Conclusion Comprehensive rehabilitation training and nursing are effective measures for rehabilitation of patients with swallowing disorders in cerebral infarction. Swallowing speech diagnosis instrument can significantly improve the recovery of patients.