Abstract
Effects of comprehensive rehabilitation therapy on dysphagia of different degrees following stroke
  
DOI:
EN KeyWords: stroke  dysphagia  comprehensive rehabilitation therapy  videofluoroscopic swallowing study
Fund Project:湖北省卫生厅科研项目(JX5B36)
作者单位
郑婵娟 湖北省新华医院康复医学科武汉 430015 
夏文广 湖北省新华医院康复医学科武汉 430015 
华强 湖北省新华医院康复医学科武汉 430015 
张阳普 湖北省新华医院康复医学科武汉 430015 
周元强 湖北省新华医院康复医学科武汉 430015 
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EN Abstract:
  Objective:To investigate the effects of comprehensive rehabilitation therapy on different degrees of dysphagia following stroke.Methods:A total of 124 stroke patients with dysphagia were divided into mild group (n=58),moderate group (n=50) and severe group (n=16) according to the WST.VFSS,NIHSS,HAMD and SWAL-QOL questionnaire were assessed before and after training.Correlation data analysis was conducted between severity of dysphagia and the scores of NIHSS,HAMD,SWAL-QOL.Results:After 4-week rehabilitation training,the scores of VFSS in mild or moderate dysphagia groups were increased,and the cure rate and total effective rate were higher than those in severe group,and that in mild group was higher than in moderate group(P<0.01,0.05).There were no significant differences of total effective rate between the two groups.VFSS scores were negatively correlated with HAMD (r=-0.562,P<0.05) and SWAL-QOL scores (r=-0.715,P<0.05),but not with NIHSS scores (r=-0.103,P>0.05).Conclusion:Rehabilitation training can obviously improve the swallow function of stroke patients with mild and moderate dysphagia,but not that much with severe dysphagia.
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