【摘要】：目的對照研究飲食干預(yù)結(jié)合吞咽訓(xùn)練對腦卒中吞咽障礙康復(fù)的療效。方法選擇腦卒中后吞咽障礙患者48例,按隨機(jī)抽簽分為對照組和觀察組各24例。在常規(guī)治療、護(hù)理、飲食宣教基礎(chǔ)上,對照組予單純吞咽訓(xùn)練,觀察組予吞咽訓(xùn)練結(jié)合飲食干預(yù),8周后使用洼田飲水試驗(yàn)、誤吸率及白蛋白指標(biāo)作為評價(jià)標(biāo)準(zhǔn),觀察兩組的干預(yù)效果。結(jié)果干預(yù)后觀察組患者洼田飲水試驗(yàn)評分較干預(yù)前顯著下降(P0.05),且觀察組洼田飲水評分顯著低于對照組(P0.05);對照組患者洼田飲水試驗(yàn)評分亦有下降,但較觀察組下降不明顯;干預(yù)后觀察組白蛋白指標(biāo)無明顯變化,對照組白蛋白指標(biāo)明顯下降;觀察組發(fā)生誤吸3例(3次),對照組發(fā)生誤吸5例(8次)。結(jié)論腦卒中吞咽障礙患者行飲食干預(yù)結(jié)合吞咽訓(xùn)練較單純吞咽訓(xùn)練的康復(fù)作用更明顯。
[Abstract]:Objective to compare the effect of diet intervention combined with swallowing training on the rehabilitation of dysphagia in stroke. Methods 48 patients with dysphagia after stroke were randomly divided into control group (n = 24) and observation group (n = 24). On the basis of routine treatment, nursing and diet education, the control group was given simple swallowing training, and the observation group was treated with swallowing training combined with dietary intervention. Eight weeks later, the Watian drinking water test was used, and the aspiration rate and albumin index were used as the evaluation criteria. The intervention effect of the two groups was observed. Results after intervention, the score of Watian drinking water test in the observation group was significantly lower than that before intervention (P 0.05), and the score of Watian drinking water in the observation group was significantly lower than that in the control group (P 0.05). The score of Watian drinking water test in the control group also decreased, but it was not significantly lower than that in the observation group, but there was no significant change in albumin index in the observation group and a significant decrease in the albumin index in the control group after intervention. Aspiration occurred in 3 cases (3 times) in the observation group and 5 cases (8 times) in the control group. Conclusion Diet intervention combined with swallowing training is more effective than swallowing training in stroke patients with dysphagia.
【作者單位】： 浙江醫(yī)院;
【基金】：浙江省衛(wèi)計(jì)委適宜技術(shù)成果轉(zhuǎn)化計(jì)劃;編號:2015ZHA002
【分類號】：R473.74

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