Objective:Discuss Memantine Hydrochloride Tablets cooperate with Xingnao Kaiqiao Acupuncture the curative effect of treatment for cognitive impairment after stroke.Methods:Select the rehabilitation department in hospital and clear diagnosis of 48 cases of cerebral stroke patients were randomly divided into treatment group and control group 24 cases, each routine rehabilitation treatment differences between the two groups, the treatment group using Memantine Hydrochloride Tablets together with Xingnao Kaiqiao Acupuncture method treatment, after 3 months of MMSE, MoCA score, BI index for statistical analysis.Results:The treatment group score was better than control group, the rising trend in 4, 12 weeks with the control group to compare differences were statistically significant (P ＜ 0.05).Conclusion:Memantine Hydrochloride Tablets with Xingnao Kaiqiao Acupuncture cognitive impairment after stroke is safe and effective method of treatment, patients are easy to accept, worthy of clinical popularization and application.
目的观察吞咽言语诊治仪用于脑卒中患者吞咽障碍综合康复治疗的疗效。方法选择脑卒中后合并吞咽障碍的住院患者50例,随机分为对照组和治疗组各25例,对照组给予综合康复治疗,包括针灸、吞咽功能基础训练及摄食训练,治疗组在综合康复治疗的基础上加用吞咽言语诊治仪治疗,比较2组的治疗效果。结果治疗后2组吞咽功能均较治疗前有改善(P<0.05),治疗组总有效率达到92%,高于对照组的76%,有显著性差异(P<0.05);2组治疗前、后洼田饮水实验评分显示治疗组吞咽功能改善好于对照组,有显著性差异(P<0.05)。结论吞咽障碍患者在常规康复治疗同时增加吞咽言语诊治仪治疗,可增加吞咽障碍治疗效果,显著改善吞咽功能,且无痛苦,无不良反应,可缩短住院治疗疗程,患者易于接受,值得临床推广应用。
构音障碍是由发音器官、肌力减弱或协调不良及肌张力的改变所致,吐字不清,不能准确地用完整的语言表达,这类患者还多伴有吞咽、咀嚼困难、流涎、呛咳、甚至不能正常进食,使之出现消瘦、营养不良,难以耐受康复训练治疗[1].早期康复治疗可使卒中后构音障碍有明显的改善,从而改善卒中病人的语言功能,加快病人康复进程,促使病人早日回归家庭和社会.
