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Effect of early swallowing rehabilitation training on patients with dysphagia in acute cerebral infarction |
CHEN Xiang |
Department of Rehabilitation Medicine,Huizhou First People′s Hospital in Guangdong Province,Huizhou 516003,China |
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Abstract Objective To observe the effect of early rehabilitation of swallowing function on improving nutritional status and ability of daily living(ADL)in patients with dysphagia in acute cerebral infarction(ACI).Methods Eighty-four patients with dysphagia in ACI from February 2018 to June 2019 treated in our hospital were selected as the subjects,and divided into observation group and control group by random number table method,with 42 cases in each group.In the control group,a conventional treatment plan was carried out,and in the observation group,early rehabilitation training for swallowing function on the basis of the control group was added.The courses of treatment lasted 4 weeks.The swallowing function,nutritional status,and ADL scores of the two groups were evaluated before and after the intervention.Results The swallowing function of the patients in the observation group after intervention was better than that before intervention,and better than that in the control group,the differences were statistically significant(P<0.05).After intervention,the levels of total protein(TP),albumin(ALB),and triglyceride(TG)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The ADL scores of the two groups after intervention were higher than those before intervention,and the ADL score of the observation group after intervention was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion The combination of early swallowing function rehabilitation exercise in conventional treatment programs can effectively promote the recovery of swallowing function in patients with dysphagia in ACI,increase the ADL score,and improve the nutritional status of patients to a certain extent,which is beneficial to the recovery of the disease.
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[6] |
武文娟,毕霞,宋磊,等.洼田饮水试验在急性脑卒中后吞咽障碍患者中的应用价值[J].上海交通大学学报(医学版),2016,36(7):1049-1053.
|
[7] |
张红娟,贾蕊,张俊梅.联合营养管理对重症脑卒中患者营养状况和近期并发症的影响[J].中国实用神经疾病杂志,2017,20(13):23-26.
|
[8] |
赵丽蓉,陈琪,李莺.日常生活活动能力量表在分级护理管理中的应用效果[J].护士进修杂志,2016,31(13):1184-1186.
|
[1] |
况莉,许燕玲,章惠英,等.脑卒中患者吞咽障碍相关临床实践指南内容分析[J].中国实用护理杂志,2019,35(6):469-474.
|
[2] |
金洁,张旭.吞咽障碍和贫血对急性脑梗死患者预后的影响[J].临床内科杂志,2018,35(2):109-112.
|
[3] |
黄黎,宋梅.脑卒中后吞咽障碍与预后的评估研究[J].陕西医学杂志,2017,46(9):1198-1199.
|
[4] |
中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
|
[5] |
周仁娣,尚霄东,钱倩,等.吞咽造影在脑损伤患者吞咽障碍的临床价值[J].医学影像学杂志,2019,29(2):202-205.
|
[9] |
中华医学会神经病学分会,中华医学会神经病学分会神经康复学组,中华医学会神经病学分会脑血管病学组.中国脑卒中早期康复治疗指南[J].中华神经科杂志,2017,50(6):405-412.
|
[10] |
强珂皎,马腾,王静.康复训练联合健康教育对脑梗死患者神经功能和肢体运动功能的影响[J].护理实践与研究,2019,16(1):153-155.
|
[11] |
朱思忆,余茜.BOLD-fMRI 成像技术在脑梗死后脑功能重组及运动功能康复机制中的应用[J].中国康复医学杂志,2015,30(7):740-742.
|
[12] |
龙耀斌,黎伟雄,黄雅琳,等.脑梗死后吞咽障碍患者脑功能成像与吞咽功能相关性研究[J].中国全科医学,2019,22(6):726-730.
|
[13] |
方少凡,胡文龙,黄东健.脑卒中后吞咽障碍患者肠内营养联合肠外营养与全肠内营养支持的临床疗效比较[J].中国临床研究,2018,31(1):98-101.
|
[14] |
李芳.早期肠内营养支持对急性脑卒中后吞咽障碍患者营养指标、神经功能及预后的影响[J].国际护理学杂志,2018,37(10):1366-1368.
|
[15] |
宋迪,吴军发.基因对脑卒中后神经可塑性的影响以及在精准康复中的作用[J].中华物理医学与康复杂志,2018,40(9):712-715.
|
|
|
|