阿尔茨海默病伴吞咽障碍病人康复影响因素分析

目的探讨阿尔茨海默病伴吞咽障碍病人吞咽功能恢复的影响因素。方法选取120例阿尔茨海默病伴吞咽障碍病人，进行为期4周的吞咽训练后，根据吞咽障碍的恢复情况，分为疗效良好组与疗效不良组，采用logistic回归分析其影响因素。结果120例病人中疗效良好占84.17%，疗效不良占15.83%。不同疗效组在吞咽障碍严重程度、进食依赖性、配合程度方面差异具有统计学意义（P < 0.01），而在年龄、性别、学历、糖尿病和高血压病等方面差异无统计学意义（P>0.05）。病人吞咽困难程度（重度）、进食依赖（喂食）、视听觉障碍与吞咽康复训练效果有关（P < 0.05~P < 0.01）。结论康复治疗师应该根据病人的具体情况有针对性地进行吞咽康复治疗。

Analysis of the influence factors on rehabilitation of Alzheimer's disease patients complicated with dysphagia

ObjectiveTo explore the influence factors on rehabilitation of Alzheimer's disease patients complicated with dysphagia.MethodsThe swallowing training in 120 Alzheimer's disease patients complicated with dysphagia was implemented for 4 weeks.According to the recovery of dysphagia, the patients were divided into the good prognosis group and poor prognosis group.The influence factors on the recovery of swallowing function were analyzed using logistic regression analysis.ResultsThe ratios of patients with good curative effect and poor curative effect were 84.17% and 15.83%, respectively.The differences of the severity of swallowing disorder, feeding dependence and coordination between two groups were statistically significant(P < 0.01), and the differences of age, sex, education, diabetes and hypertension between two groups were not statistically significant(P>0.05).The degree of dysphagia(severity), feeding dependence(feeding), and visual and auditory impairment were related to the effects of swallowing rehabilitation training(P < 0.05 to P < 0.01).ConclusionsThe targeted swallowing rehabilitation training should be implemented according to the specific situation of the patients.