Comprehensive rehabilitation therapy for speech and swallowing dysfunction after stroke
脑卒中后言语吞咽功能障碍的综合康复治疗

摘要

目的 探讨采用综合康复治疗脑卒中后言语吞咽功能障碍的效果。方法 研究开展的时间跨度为2021年1月－2022年1月；在该阶段对研究样本进行明确，主要来源于在我院接受治疗的脑卒中后言语吞咽功能障碍患者，选取典型代表80例进行具体分析，采用计算机及相关软件对所有的患者进行编号，并使用软件分组。其中接受常规康复治疗的40例患者分为参照组，另外35例患者接受综合康复治疗，视为研究组。对两组护理期间的情况进行详细观察与记录，并进行对比分析。结果 进行两组患者治疗前后洼田饮水试验测试结果及功能性经口进食量表（FOIS）评分比较，治疗前相关数据的对比无明显差异（P＞0.05）说明不具有统计学意义，治疗后研究组和参照组患者的洼田饮水试验结果及FOIS评分均有改善，其中研究组改善效果明显，且优于参照组（P＜0.05）。结论 针对脑卒中后言语吞咽功能障碍患者，采用综合康复治疗方法，能够有效地改善患者的吞咽功能，使康复效果得到提高，可加大推广力度，并具有较高的适用性。

Abstract

Objective To investigate the effect of comprehensive rehabilitation on speech and swallowing dysfunction after stroke.
Methods: The time span of the study was from January 2021 to January 2022; at this stage, the research samples were clarified, mainly from patients with post-stroke speech and swallowing dysfunction who were treated in our hospital, and 80 typical representatives were selected. For specific analysis, all patients were numbered by computer and related software, and grouped by software. Among them, 40 patients who received conventional rehabilitation therapy were divided into the reference group, and the other 35 patients who received comprehensive rehabilitation therapy were regarded as the study group. Detailed observations and records of the two groups during the nursing period were carried out, and a comparative analysis was carried out.
Results: The test results of the water field drinking test and the functional oral feeding scale (FOIS) score were compared between the two groups of patients before and after treatment. There was no significant difference in the comparison of relevant data before treatment (P>0.05), indicating that there was no statistical significance. After the study group and the reference group, the results of the water field drinking test and the FOIS score were improved, and the improvement effect of the study group was obvious and better than that of the reference group (P<0.05).
Conclusion  : For patients with speech and swallowing dysfunction after stroke, comprehensive rehabilitation therapy can effectively improve the patients' swallowing function and improve the rehabilitation effect. It can be promoted and has high applicability.