吞咽训练对真性球麻痹患者吞咽障碍的疗效观察

周惠嫦 张盘德 2005-12-13 13:08:25 中华中西医杂志 2003年5月第4卷第10期

【摘要】 目的 探讨吞咽训练对真性球麻痹的治疗效果。方法 42例延髓梗塞和放射性脑病所致的真性球麻痹患者随机分为治疗组和对照组，治疗组接受吞咽训练和常规药物治疗，对照组仅接受常规药物治疗，以饮水试验和临床评定来评价疗效。结果 吞咽训练前两组的饮水试验评分分别为4.60±0.59和4.59±0.67，治疗组在吞咽训练后得分非常显著地降低至1.90±0.91，对照组降低至4.09±0.87，两组比较P<0.001。临床评定两组有效率分别为90%和40.9%，P=0.003，治疗组的吞咽能力改善明显优于对照组。结论 吞咽训练能显著提高真性球麻痹患者的吞咽能力。

关键词 真性球麻痹 吞咽障碍 吞咽训练

Swallowing training for treating dysphagic patients with medulla stroke orpostradiotherapeutic encephalopathy

Zhou Huichang，Zhang Pande

Department of Rehabilitation Medicine，the First People’s Hospital of Foshan，Foshan528000.

【Abstract】 Objective To survey the effect of swallowing training on dysphagic patients with bulbar palsy.Methods Thirty-six medullary stroke patients and6post-rediotherapeutic encephalopathy patients were divided into2groups:swallow-training group（n=20）were treated with swallowing training and routine medication therapy，control group（n=22）were treated with routine medication only.The patients were assessed with water-swallow test and clinical swallowing assessment.Results The first assessment score of water-swallow test in2groups were4.60±0.59and4.59±0.67，respectively，after treatment the score were1.90±0.91and4.09±

0.87respectively，P<0.001.In clinical swallowing assessment，the efficiency were90%and40.9%respectively，P=0.003.Conclusion Swallowing training can improve the swallow ability of bulbar pulsy patients.