中国康复2012，Vol.27Issue(6)：420-422,3.DOI:10.3870/zgkf.2012.06.007
综合康复治疗对脑卒中后不同程度吞咽障碍的影响
Effects of comprehensive rehabilitation therapy on dysphagia of different degrees following stroke
摘要
Abstract
Objective:To investigate the effects of comprehensive rehabilitation therapy on different degrees of dysphagia following stroke. Methods: A total of 124 stroke patients with dysphagia were divided into mild group (n = 58),moderate group (n = 50) and severe group (n=16) according to the WST. VFSS,NIHSS, HAMD and SWAL-QOL questionnaire were assessed before and after training. Correlation data analysis was conducted between severity of dysphagia and the scores of NIHSS, HAMD,SWAL-QOL. Results: After 4-week rehabilitation training, the scores of VFSS in mild or moderate dysphagia groups were increased,and the cure rate and total effective rate were higher than those in severe group,and that in mild group was higher than in moderate group(P<0. 01,0. 05). There were no significant differences of total effective rate between the two groups. VFSS scores were negatively correlated with HAMD (r=-0. 562,P<0. 05) and SWAL-QOL scores (r=-0. 715 ,P<0. 05) ,but not with NIHSS scores (r= - 0. 103, P>0. 05). Conclusion: Rehabilitation training can obviously improve the swallow function of stroke patients with mild and moderate dysphagia,but not that much with severe dysphagia.关键词
脑卒中/吞咽障碍/综合康复治疗/电视透视吞咽功能检查Key words
stroke/dysphagia/comprehensive rehabilitation therapy/videofluoroscopic swallowing study分类
医药卫生引用本文复制引用
郑婵娟,夏文广,华强,张阳普,周元强..综合康复治疗对脑卒中后不同程度吞咽障碍的影响[J].中国康复,2012,27(6):420-422,3.基金项目
湖北省卫生厅科研项目(JX5B36) （JX5B36）
