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目的探讨运动再学习法(Motor relearning programme,MRP)对脑卒中后吞咽障碍功能恢复的影响。方法将28例脑卒中后吞咽障碍患者随机分为康复治疗组和自然恢复组。两组患者一般资料比较差异无统计学意义(P>0.05),自然病程<5周,能正常沟通,且合作。康复治疗组在患者生命体征稳定,神经病学体征不再进展后开始MRP+常规治疗,自然恢复组按常规治疗。采用饮水试验作为评定标准:1次5 s内饮完温水30 ml无呛咳为正常,饮水试验评定较前提高≥2个级差者为临床疗效达标。结果康复治疗组饮水试验近期恢复正常率为60.0%,自然恢复组为38.5%,临床疗效达标率分别为73.33%和53.85%,组间对比,饮水试验近期恢复正常率及临床疗效达标率差异均有统计学意义(P<0.05)。结论 MRP的干预对脑卒中后吞咽障碍功能恢复有明显疗效。
Objective To investigate the effect of motor relearning program (MRP) on functional recovery of swallowing disorder after stroke. Methods Twenty-eight patients with post-stroke dysphagia were randomly divided into rehabilitation group and spontaneous recovery group. There was no significant difference between the two groups in general information (P> 0.05), natural course of disease <5 weeks, can communicate properly, and cooperation. The rehabilitation group began MRP + routine treatment after the patient’s vital signs were stable and the neurological signs no longer progressed. The natural recovery group was treated as usual. Drinking water test as the evaluation criteria: 1 5 s drink warm water 30 ml without choking as normal, drinking water test to assess the improvement of more than 2 levels were clinically effective. Results The recovery rate of drinking water test in rehabilitation group was 60.0%, while that in natural recovery group was 38.5%. The clinical compliance rate was 73.33% and 53.85%, respectively. Comparing the two groups, the recovery rate of drinking water test and the compliance rate of clinical efficacy There was statistical significance (P <0.05). Conclusion The intervention of MRP has obvious curative effect on dysfunction of swallowing disorder after stroke.