论文部分内容阅读
目的探讨床边吞咽困难筛查在急性脑卒中患者中的应用及综合干预治疗的疗效。方法将我院确诊为急性脑卒中合并吞咽困难患者95例随机分为两组,治疗组55例予针灸联合吞咽训练治疗,对照组40例仅给予常规处理,观察两组临床疗效,采用洼田饮水试验评分评估两组患者治疗前后吞咽困难改善情况。结果治疗组的临床总有效率96.36%,明显高于对照组的77.50%,差异有统计学意义(P<0.05);治疗前,两组洼田饮水试验评分无统计学差异(P>0.05),综合干预治疗后,治疗组洼田评分为2.74±0.22,显著低于对照组的3.24±0.31,差异有统计学意义(P<0.05)。结论早期筛查急性脑卒中患者吞咽困难情况,并给予综合治疗,可显著改善患者吞咽功能,提高生活质量。
Objective To investigate the application of bedside swallowing screening in patients with acute stroke and the curative effect of comprehensive intervention. Methods Ninety-five patients diagnosed as acute stroke complicated with dysphagia in our hospital were randomly divided into two groups. 55 cases in the treatment group were treated with acupuncture and moxibustion combined with swallowing training, 40 cases in the control group were given routine treatment only. The clinical curative effect was observed in both groups. Drinking water test scores to assess the two groups of patients with dysphagia before and after treatment to improve. Results The total clinical effective rate in treatment group was 96.36%, which was significantly higher than that in control group (77.50%) (P <0.05). Before treatment, there was no significant difference between the two groups in drinking water test scores (P> 0.05) . After comprehensive intervention, the score of Kubota group in treatment group was 2.74 ± 0.22, which was significantly lower than that in control group (3.24 ± 0.31), the difference was statistically significant (P <0.05). Conclusion Early screening of acute stroke patients with dysphagia, and given comprehensive treatment, can significantly improve the swallowing function and improve quality of life.