急性脑卒中患者合并吞咽困难的临床分析与康复治疗

目的观察急性脑卒中合并吞咽困难患者康复治疗的疗效评定及吸入性肺炎的发生率。方法将168例急性脑卒中合并吞咽困难的患者随机分为康复组和对照组，康复组在对照组应用药物治疗的同时给予综合康复训练治疗。治疗时间为1个月．以治疗前后患者吞咽功能恢复情况及吸入性肺炎的发生率作为观察指标。结果康复组患者吞咽功能恢复情况显著优于对照组，而其吸入性肺炎的发生率显著低于对照组。结论对于急性脑卒中合并吞咽困难的患者早期给予及时、系统的综合康复训练能够有效改善患者的吞咽功能，并显著减少此类患者吸入性肺炎的发生率。

Clinical analysis and rehabilitation in acute stroke patients with dysphagia

Objective To observe the therapeutic effectiveness of dysphagia in acute stroke patients and the incidence of aspiration pneumonia. Methods 168 dysphagia patients were divided into rehabilitation group and control group. The reha- bilitation group received combination treatment based on assessment results, while the control group received conventional treatment; both groups were treated for one month. The rehabilitation of swallowing function and the incidence of aspiration pneumonia were compared between the two groups. Results The recovery rate of swallowing function in the rehabilitation group was significantly higher than that in the control group. The incidence of aspiration pneumonia in the rehabilitation group was significantly lower than that in the control group. Conclusion Receiving combination treatment in time, dysphagia patients can improve significantly the swallowing function and reduce the incidence of aspiration pneumonia.