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目的探讨早期康复训练对血管性帕金森综合征伴吞咽障碍患者的治疗效果。方法选择血管性帕金森综合征伴吞咽障碍患者76例,随机分为常规治疗组和康复治疗组,各38例。前者采用常规治疗,后者在常规治疗基础上实施早期吞咽功能康复训练,60 d后评定治疗效果。结果康复治疗组的各项营养学指标均高于常规治疗组(P<0.05),吞咽功能改善总有效率显著高于常规治疗组(P<0.01),并且与常规治疗组比较,康复治疗可显著降低吸人性肺炎发生率。结论血管性帕金森综合征并发吞咽障碍患者进行早期康复训练,可明显改善患者吞咽困难程度,提高患者生存质量。
Objective To investigate the effect of early rehabilitation training on patients with vascular parkinsonism and swallowing disorder. Methods 76 patients with vascular parkinsonism and swallowing disorder were randomly divided into routine treatment group and rehabilitation treatment group, 38 cases each. The former using conventional treatment, the latter based on the conventional treatment of early swallowing functional rehabilitation training, 60 days after the assessment of treatment. Results The nutritional indexes of the rehabilitation group were higher than those of the conventional treatment group (P0.05), and the total effective rate of the swallowing function was significantly higher than that of the conventional treatment group (P0.01). Compared with the conventional treatment group, the rehabilitation treatment group Significantly reduce the incidence of aspiration pneumonia. Conclusions Early rehabilitation training for patients with vascular parkinsonism complicated with dysphagia can significantly improve the degree of dysphagia and improve the quality of life of patients.