| 脑卒中后吞咽障碍的康复训练 |
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| 引用本文： | 阳初玉,庞国防,陈秀琼,林卫,徐薇.脑卒中后吞咽障碍的康复训练[J].中国康复,2008,23(5). |
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| 作者姓名： | 阳初玉 庞国防 陈秀琼 林卫 徐薇 |
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| 作者单位： | 广西壮族自治区江滨医院神经康复科,南宁,530021 |
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| 摘 要： | 目的:探讨脑卒中后吞咽障碍康复治疗的疗效.方法:45例脑卒中后吞咽障碍患者分为训练组24例和对照组21例.2组基础治疗相同,训练组同时配合早期吞咽康复训练,内容包括咽部冷刺激与空吞咽,舌部运动,屏气发声及摄食训练,每日2次.治疗4周后采用吞咽X线透视检查法(VFSS)对2组患者治疗前后吞咽功能进行评分,并检查血钠、钾、白蛋白水平及吸入性肺炎发生情况.结果:训练组治疗后VFSS评分比治疗前及对照组明显提高(7.3±2.8与4.0±0.6、4.7±1.9,P＜0.01);吞咽障碍恢复19例,对照组3例,训练组吞咽障碍恢复率明显高于对照组(79.1%与19.1%,P＜0.01);治疗前后血钠、钾、白蛋白含量及吸人性肺炎发生率比较2组差异无显著性意义.结论:系统的康复训练对脑卒中后吞咽障碍功能的恢复有明显疗效.
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| 关 键 词： | 脑卒中 吞咽障碍 康复治疗 |
Rehabilitation Training of Dysphagia Following Stroke |
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| YANG Chu-yu,PANG Guo-fang,CHEN Xiu-qiong,et al..Rehabilitation Training of Dysphagia Following Stroke[J].Chinese Journal of Rehabilitation,2008,23(5). |
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| Authors: | YANG Chu-yu PANG Guo-fang CHEN Xiu-qiong |
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| Institution: | YANG Chu-yu,PANG Guo-fang,CHEN Xiu-qiong,et al.Department of Neurology , Rehabilitation Medicine,Jiangbing Hospital,Nanning 530021,China |
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| Abstract: | Objective:To study the effectiveness of rehabilitation in stroke patients with dysphagia.Methods:Forty-five cases of dysphagia following stroke were randomly divided into rehabilitation group (24 cases) and control group (21 cases).Two groups received same basic therapy on the whole,while the early rehabilitation was performed on the patients in rehabilitation group two times a day for 4 weeks.Score of dysphagia was assessed by videofluoroscopic swallow-ing study (VFSS),and serum potassium,sodium,album leve... |
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| Keywords: | stroke dysphagia rehabilitation |
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