吞咽治疗仪联合电针治疗卒中后吞咽障碍对卒中相关性肺炎发生率的.doc

吞咽治疗仪联合电针治疗卒中后吞咽障碍障碍P＜0.005），联合治疗组1月内肺炎发生率（12.0%）低于吞咽治疗组（29.2%）（P＜0.05）。结论 吞咽治疗仪联合电针能明显改善吞咽功能，同时可减少卒中相关性肺炎的发生率。 【关键词】卒中相关性肺炎 吞咽障碍 吞咽治疗仪 电针 Therapeutic effect Of Instrument Swallowing Disorder and Acusector on Acute Stroke Patients with dysphagia and Stroke Associated Pneunonia DING Ling,Tang Xian-jing,Yang Xiao-fei,et al. Department of Neurology, the Third Hospital of Changsha, Changsha 410075,China 【Abstract】 Objective:To To observe the therapeutic efficacy of Instrument swallowing disorder and acusector on dysphagia after stroke and its effect on Stroke associated pneumonia(SAP) rate. Methods :98 patients with post-stroke dysphagia were divided into two groups. Swallowing treatment group enrolled 48 acute stroke patients with dysphagia were received rehabilitation training treatment. Combined 作者单位：长沙市第三医院神经内科（长沙 410075），电E-mail: dingling199816@ treatment group enrolled 50 acute stroke patients with dysphagia were received the treatment of instrument swallowing disorder and acusector. Swallowing score and incidence of pneumonia 1 month before and after treatment were compared. Results：After 1 month of treatment, the treatment effective rate of dysphasia was better in the combined treatment group（92.0%） than that in the swallowing treatment group（77.1%） (P ＜0.005).Rate of SAP was significantly lower in the combined treatment group than that in the swallowing treatment group（29.2%）（P＜0.05）. Conclusionhe treatment of instrument swallowing disorder and acusector can significantly improve swallowing function, and at the same time reduce SAP incidence. 【Key words】S; Dysphagia; Instrument swallowing disorder；Acusector 脑卒中的急性期,吞咽障碍的发生率很高,约占30%~40%[1], 卒中后吞咽障碍影响患者的水和营养的摄取，导致营养不良、水电解质平衡紊乱、脱水等，加重脑卒中的严重程度，影响患者的早期康复；大部分患者有不同程度的食物残留或误吸，可引起吸入性肺炎、气道梗阻、窒息甚至死亡等多种严重的并发症。其中，卒中相关性肺炎（stroke associated pneumonia,SAP）是脑卒中后常见并发症之一，一旦卒中后合并肺炎，则显著增加了患者的住院时间和病死率，为此，我们采用吞咽治疗仪联合电针治疗卒中后吞咽障碍的患者，观察其疗效以及对SAP发生率的影响，现报道如下。 1 资料与方法 1.1 一般资料 将2010 年10 月－ 2012 年9月我院神经内科住院的急性脑