| Objective: To investigate the effect of individual swallowing therapy on patients with dysphagia after stroke through early assessment of the dysphagia diagnosis system. Methods: Eighty five patients with stroke and swallowing dysfunction were randomly divided into control group and observation group, 42 patients in control group and 43 patients in observation group. All patients were given conventional drugs and rehabilitation for stroke. The control group underwent routine swallowing rehabilitation treatment, and the observation group received individual swallowing treatment plan based on the evaluation results of the dysphagia diagnosis system. The treatment was continued for 8 weeks. Before and after treatment, the drinking water test, the standard swallowing function assessment (SSA) and swallowing quality of life (SWAL-QOL) scores were used to compare the improvement of swallowing function and quality of life between the two groups. The incidence of adverse events such as absorption and aspiration pneumonia was compared between the two groups. Results: After 8 weeks of treatment, the drinking water test and SWAL-QOL scores of the two groups were significantly improved as compared with those before treatment (all P<0.01), the SSA scores of the two groups was significanthy lower than those before treatment (allP<0.01), and the scores of the observation group were improved more significantly than those of the control group (all P<0.01). The incidence of adverse events was significantly lower in the observation group than in the control group (P<0.05). Conclusion: The individualized swallowing treatment plan based on early diagnosis of dysphagia diagnosis system can effectively improve the swallowing function of patients with dysphagia after stroke, reduce the incidence of absorption and aspiration pneumonia, and improve the quality of life of patients. |
