早期吞咽训练对脑卒中后吞咽障碍的疗效观察

目的探讨脑卒中后吞咽障碍康复训练的方法和疗效。方法将36例脑卒中后吞咽障碍患者随机分为两组：训练组20例和对照组16例，训练组患者除给予内科常规治疗外进行吞咽障碍康复训练，对照组仅采用内科常规治疗，治疗4周后对比分析两组的疗效。结果训练组经过4周的康复训练，吞咽功能明显改善，吞咽障碍程度与对照组比较差异有统计学意义（P〈0．05）。训练组20例患者中显效10例，有效7例，无效3例；对照组16例患者中显效1例，有效8例，无效7例，两组患者的疗效间差异有统计学意义（P〈0．01）。结论早期康复训练能明显提高脑卒中后吞咽障碍患者的吞咽功能。

Effect of Early Deglutition Training on Dysphagia in Stroke

Objective To evaluate the effect of deglutition training on dysphagia due to Stroke. Methods Totally 36 patients with dysphagia due to stroke were randomly divided as trial group (n=20) receiving deglutition training and routine medical therapy, and control group (n=16) receiving routine medical therapy only). Results Through 4-week deglutition training, the swallowing function of patients in the trial group was improved remarkably, with a significant difference from that in the control group (P<0.05). Among 20 patients in the trial group there were 10 who responded very effectively, 7 who responded effectively, and 3 who not responded; as compared respectively with 1, 8 and 7 among the 16 patients in the control group, the difference was statistically significant (P<0.01). Conclusion The early deglutition training could significantly improve the swallowing function of the patients with dysphagia due to stroke.