摘要
目的分析存在吞咽功能障碍的急性脑梗死患者采用早期冰刺激联合治疗的临床效果。方法选择以往在本院接受治疗的存在吞咽功能障碍的急性脑梗死患者88例,随机将其分为对照组和观察组,每组44例。对照组采用常规方案进行治疗;观察组在常规方案基础上实施早期冰刺激联合治疗。比较两组患者在治疗前后吞咽功能评分和田氏饮水试验评分的改善幅度、急性脑梗死吞咽功能障碍治疗总有效率、吞咽功能恢复正常时间和治疗计划实施总时间、在治疗期间出现的不良反应。结果观察组患者在治疗前后吞咽功能评分和田氏饮水试验评分的改善幅度大于对照组,差异有统计学意义(P<0.05);急性脑梗死吞咽功能障碍治疗总有效率达到90.9%,高于对照组的70.5%,组间差异有统计学意义(P<0.05);吞咽功能恢复正常时间和治疗计划实施总时间短于对照组,差异有统计学意义(P<0.05);在治疗期间仅有2例出现不良反应,少于对照组的9例,组间差异有统计学意义(P<0.05)。结论存在吞咽功能障碍的急性脑梗死患者采用早期冰刺激联合治疗,可以在最大程度上改善吞咽功能,减少不良反应,缩短住院治疗时间。
Objective To analyze the clinical effect of early ice stimulation in the treatment of acute cerebral infarction patients with dysphagia.Methods88patients with acute cerebral infarction with dysphagia in our hospital were randomly divided into the control group and the observationgroup,with44patients in each group.The control group received routine treatment,while the observation group received early ice stimulation treatmenton the basis of routine regimen.Comparison of two groups of patients with swallowing function scores and drinking water test scores after treatmentof acute cerebral infarction with dysphagia improvement rate,the total efficiency of treatment,swallowing function recovery time and treatmentplan for the implementation of the adverse reaction time,during treatment.Results The observation group improved in patients with swallowingfunction scores and drinking water test scores after treatment than the control group,the difference was statistically significant(P<0.05);acute cerebralinfarction dysphagia treatment the total effective rate reached90.9%,higher than70.5%in the control group,there was significant difference betweenthe groups(P<0.05);swallowing function the recovery time and the total time of treatment plan is shorter than the control group,the differencewas statistically significant(P<0.05);during the period of treatment,only2cases of adverse reactions,less than9cases in the control group,there was significant difference between the groups(P<0.05).Conclusion Early ice stimulation combined with the treatment of acute cerebral infarctionpatients with dysphagia can improve the swallowing function to the greatest extent,reduce the adverse reactions and shorten the hospitalizationtime.
作者
肖杰平
龚茨平
Xiao Jie-ping;Gong Ci-ping(Jinxi County People's Hospital in Jiangxi, two, Fuzhou, Jiangxi, 344800, China;Jinxi County Hospital of traditional Chinese medicine in two, Fuzhou, Jiangxi, 344800, China)
出处
《当代医学》
2017年第32期64-66,共3页
Contemporary Medicine
关键词
吞咽功能障碍
急性脑梗死
早期冰刺激
效果
Dysphagia
Acute cerebral infarction
Early ice stimulation
Effect
