朱海霞

    [摘要] 目的 观察吞咽治疗的早期干预时间对脑卒中后吞咽困难恢复的影响。 方法 选取2012年4月～2014年12月内蒙古医科大学附属医院康复科收治的108例首次发病的急性脑卒中且合并吞咽障碍的患者为研究对象，采用随机数字表法将其分为三组：脑卒中3 d后进行干预治疗的A组(n = 36)，脑卒中2周后进行干预治疗的B组(n = 36)以及脑卒中1个月后进行干预治疗的C组(n = 36)组。干预治疗2个月后，采用饮水实验及吞咽前后血氧饱和度、吸入性肺炎发生率评价三组患者康复治疗后的疗效。结果 洼田实验结果显示，A组与B组中Ⅰ、Ⅱ级者多于C组，差异有统计学意义(P 0.05)。住院治疗期间A组吸入性肺炎发生率为5.56%，明显低于B组及C组(16.67%、38.89%)，差异均有统计学意义(P < 0.05)。 结论 尽早开展综合康复治疗对脑卒中后吞咽困难恢复更加有效。

    [关键词] 脑卒中；吞咽困难；早期干预；综合康复治疗

    [中图分类号] R743 [文献标识码] A [文章编号] 1674-4721(2016)10(c)-0166-04

    [Abstract] Objective To observe the effects of onset time of swallowing therapy on recovery from dysphagia following stroke. Methods One hundred and eight patients who due to acute stroke in the first time and concurrent dysphagia disease from April 2012 to December 2014 in the Department of Rehabilitation of the Affiliated Hospital of Inner Mongolia Medical University were selected as the study objects. Patients were divided into three groups according to random number table： group A was given intervention treatment 3 days after stroke (n = 36) ......