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[目的]探讨早期吞咽功能康复训练对改善脑卒中鼻饲患者预后的疗效。[方法]将神志清醒的急性脑卒中鼻饲患者60例随机分为常规鼻饲治疗组(对照组)和康复鼻饲治疗组(研究组),各30例。前者采用鼻饲等常规治疗,后者在鼻饲等常规治疗基础上实施早期吞咽功能康复训练,30d后评定疗效。[结果]研究组的各项营养学指标、吞咽功能改善及神经功能恢复有效率、经口摄食量、30d内拔除胃管例数均显著高于对照组(P﹤0.05)。[结论]脑卒中并发吞咽困难患者进行早期康复训练,可明显改善吞咽困难程度,提高生活质量。
[Objective] To investigate the effect of early swallowing functional rehabilitation training on improving the prognosis of nasal feeding patients with stroke. [Methods] 60 conscious nasal feeding patients with acute stroke were randomly divided into routine nasal feeding group (control group) and rehabilitation nasal feeding group (study group), 30 cases in each group. The former adopted routine treatment such as nasal feeding, the latter in the nasal feeding and other conventional treatment based on the implementation of early swallowing functional rehabilitation training, 30d after the assessment of efficacy. [Results] The nutritional indexes, the improvement of swallowing function and the recovery of nerve function in the study group were significantly higher than those in the control group (P <0.05). [Conclusion] Early rehabilitation training for stroke patients complicated with dysphagia can obviously improve the degree of dysphagia and improve the quality of life.