(精品)吞咽治疗仪联合电针治疗卒中后吞咽障碍对卒中相关性肺炎发生率的影响

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1、吞咽治疗仪联合电针治疗卒中后吞咽障碍对卒中相关性肺炎发生率的影响丁玲汤显靖杨小飞【摘要】目的观察吞咽治疗仪和电针对卒中后吞咽障碍的的疗效以及卒中相关性肺炎发生率的影响。方法98例卒屮后吞咽障碍的患者随机分为吞咽治疗组（48例）和联合治疗组（50例）,呑咽治疗组给予基础呑咽功能训练和进食训练，联合治疗组在吞咽治疗组的基础上给予吞咽治疗仪和电针治疗。统计治疗前及治疗后1月吞咽评分、肺炎发生率。结果经过1月的治疗，联合治疗组吞咽障碍治疗的总有效率（92.0%）高于吞咽治疗组（77.1%）（P<0.005）,联合治疗组1月内肺炎发生率（12.0%）低于吞咽治疗

2、组（29.2%）（P<0.05）o结论吞咽治疗仪联合电针能明显改善吞咽功能，同时可减少卒中相关性肺炎的发生率。【关键词】卒中相关性肺炎吞咽障碍呑咽治疗仪电针TherapeuticeffectOfInstrumentSwallowingDisorderandAcusectoronAcuteStrokePatientswithdysphagiaandStrokeAssociatedPneunoniaDINGLing,TangXian-jing.YangXiao-fei,etal.DepartmentofNeurology,theThirdHospitalo

3、fChangsha,Changsha410075,China[Abstract]Objective:ToToobservethetherapeuticefficacyofInstrumentswallowingdisorderandacusectorondysphagiaafterstrokeanditseffectonStrokeassociatedpneumonia(SAP)rate.Methods:98patientswithpost-strokedysphagiaweredividedintotwogroups.Swallowingtreatm

4、entgroupenrolled48acutestrokepatientswithdysphagiawerereceivedrehabilitationtrainingtreatment.Combined作者单位：长沙市第三保院神经内科（长沙410075）,电话13875814126,E-mail:dingling199816@sina.comtreatmentgroupenrolled50acutestrokepatientswithdysphagiawerereceivedthetreatmentofinstrumentswallowingdiso

5、rderandacusector.Swallowingscoreandincidenceofpneumonia1monthbeforeandaftertreatmentwerecompared・Results：After1monthoftreatment,thetreatmenteffectiverateofdysphasiawasbetterinthecombinedtreatmentgroup(92.0%)thanthatintheswallowingtreatmentgroup(77.1%)(P<0.005).RateofSAPwassignif

6、icantlylowerinthecombinedtreatmentgroup(12.0%)thanthatintheswallowingtreatmentgroup(29.2%)(P<0.05)•Conclusion:Thetreatmentofinstrumentswallowingdisorderandacusectorcansignificantlyimproveswallowingfunction,andatthesametimereduceSAPincidence.[Keywords1Strokeassociatedpneumonia;Dy

7、sphagia;Instrumentswallowingdisorder；Acusector脑卒中的急性期，吞咽障碍的发生率很高，约卒中后呑唯)裤碍彩响％老的水如營养的摄取，导致營养不矗、水电翎应年衡妄乱、说水绣，刿唾脑卒中的产唾繹扈，彩响您瘠的孚朗療复；尢祁分営老侖不同程扈的倉的3曳啓或谯呱，可引起吸入性肺炎、气道梗阻、窒息甚至死亡等多种严重的并发症。孵,卒中相关性肺炎(strokeassociatedpneumonia,SAP)是脑卒中后常见并发症之一，一旦卒中后合并肺炎，则显著增加了患者的住院时间和病死率，为此，我们采用吞咽治疗仪联合电针治疗卒中

8、后吞咽障碍的患者，观察其疗效以及对SAP发生率的影响，现报道如下。1资料与方法1.1一般资料将