[经典]吞咽治疗仪联合肠内营养治疗卒中后延髓麻痹吞咽障碍的临床研究

《[经典]吞咽治疗仪联合肠内营养治疗卒中后延髓麻痹吞咽障碍的临床研究》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、［经典］吞咽治疗仪联合肠内营养治疗卒中后延髓麻痹吞咽障碍的临床研究吞咽治疗仪联合肠内营养治疗卒中后延髓麻痹吞咽障碍的临床研究【摘要】冃的观察吞咽治疗仪联合肠内营养支持对卒中后延髓麻痹咽期神经源性吞咽障碍患者的治疗效果。方法选取咽期吞咽障碍患者106例随机分为对照组、治疗仪组、肠内营养组及联合治疗组。各组患者均给予脑卒中常规药物治疗及鼻饲营养师指导下配制的匀浆流质饮食，治疗仪组患者同时辅以吞咽治疗仪治疗，肠内营养组患者则以肠内营养制剂瑞高治疗,联合治疗组患者则同时辅以吞咽治疗仪及肠内营制剂瑞高联合治疗。分别于治疗前、后采用反复

2、唾液吞咽测试及饮水试验评价患者吞咽功能的改善情况。结果除对照组患者以外，其他各组患者吞咽功能评分均较治疗前显著改善（P〈0・01）,进一步分析后发现，各组患者吞咽功能疗效顺序如下:联合治疗组〉治疗仪组〉肠内营养组〉对照组，差异均有统计学意义（P〈0・01）。结论吞咽治疗仪联合肠内营养治疗脑卒中后延髓麻痹所导致的吞咽障碍具有协同效应,可进一步提咼临床疗效,促进患者早日康复。【关键词】吞咽治疗仪；肠内营养;延髓麻痹;吞咽障碍ClinicalStudiesofswallowingtreatmentapparatuscombined

3、withenteralnutritioninthetreatmentofdysphagiacausedbybulboparalysisafterstrokeWUBang-li,LIUBo,LIUJie,etal.DepartmentofNeurology,AfiliatedZiboMunicipalFirstHospitalofWeifangMedicalCollage,Zibo255200,China[Abstract】ObjectiveToobservetheeffectivenessofswallowingtreatm

4、entapparatuscombinedwithenteralnutritioninthetreatmentofdysphagiacausedbybulboparalysisafterstroke・MethodsOnehundredandsixpatientswererandomlydividedintocontrolgroup,apparatusgroup,enteralnutritiongroupandcombinedtreatmentgroup・Allthepatientsweregivenroutinemedicat

5、iontreatment・Inaddition,thepatientsinapparatusgroupandenteralnutritiongroupweregivenswallowingtreatmentapparatustherapyandenteralnutritiontherapy,respectively.Thepatientsincombinedtreatmentgroupweregivenswallowingtreatmentapparatustherapycombinedwithenteralnutritio

6、n.Repetitivesalivaswallowingtestandwaterdrinkingtestwereusedtoassessswallowingfunctionbeforeand21stdaftertreatment.ResultsItwasshownthatthepatientsinallgroupsbutthecontrolgroupgotsignificantimprovemenlinswallowingaftertreatment,asdemonstratedbytheswallowingfunction

7、scores(P<0・01)・Moreover,thepriorityorderinimprovementofswallowingfunctionandrecoveringratewere:combinedtreatmentgrouP>appara.tusgrouP>enteralnutritiongrouP>controlgroup(P<0.01).ConclusionThecombinationofswallowingtreatmentapparatustherapyandenteralnutritioncouldact

8、synergicallytoamelioratedysphagiacausedbybulboparalysisafterstrokeandhelppatientsrecoversoon.[Keywords]Swallowingtreatmentapparatus;Enteralnutrit