作　　者： ;

机构地区： 惠州市第一人民医院

出　　处： 《中国当代医药》 2020年第10期67-70,共4页

摘　　要： 目的观察早期吞咽功能康复锻炼对急性脑梗死(ACI)吞咽障碍患者营养状况及日常生活活动能力(ADL)的影响。方法选取2018年2月~2019年6月我院收治的84例ACI吞咽障碍患者作为研究对象,根据随机数字表法分为观察组和对照组,每组各42例。对照组患者予以常规治疗方案,观察组患者在对照组的基础上予以早期吞咽功能康复训练,为期4周。分别于干预前后评估两组患者的吞咽功能、营养状况及ADL评分。结果观察组患者干预后的吞咽功能优于干预前,且优于对照组,差异有统计学意义(P<0.05);观察组患者干预后的总蛋白(TP)、清蛋白(ALB)、三酰甘油(TG)水平均高于对照组,差异有统计学意义(P<0.05);两组患者干预后的ADL评分均高于干预前,且观察组患者干预后的ADL评分高于对照组,差异有统计学意义(P<0.05)。结论在常规治疗方案中结合早期吞咽功能康复锻炼能够有效促进ACI吞咽障碍患者吞咽功能的恢复,提高ADL评分,并在一定程度上改善患者的营养状况,有利于病情的康复。 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.

关 键 词： 急性脑梗死 吞咽障碍 吞咽功能康复锻炼 营养状况 日常生活活动能力

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