[The treatment efficacy of disturbed swallowing function in patients with ischemic stroke and neurogenous dysfagia in the intensive care unit].
[The treatment efficacy of disturbed swallowing function in patients with ischemic stroke and neurogenous dysfagia in the intensive care unit].
复制标题
重症监护室缺血性脑卒中合并神经性吞咽困难患者吞咽功能障碍的治疗效果
DOI：
10.17116/jnevro201911907135
复制
发表时间：
2019
影响因子：
--
通讯作者：
V. Silkin
中科院分区：
文献类型：
--
作者：
V. I. Ershov;S. V. Zdvizhkova;A. P. Gonchar;T. Lozinskaya;G. E. Kuznetsov;I. Borodkin;V. Silkin
目的
评价使用特殊营养混合物作为联合治疗的一部分对缺血性卒中神经源性吞咽困难患者进行康复训练的有效性。
材料和方法
该研究包括65例缺血性卒中急性期吞咽困难患者（35例男性和30例女性，年龄45至80岁）。30名患者接受了特殊结合化合物治疗，作为联合治疗的一部分。35名患者未使用该混合物。使用PAS（渗透-抽吸量表）和FEDSS（纤维内窥镜吞咽困难严重程度量表），以及从管到独立进食的过渡，吞咽功能恢复的动力学进行了研究。
结果与结论
在特殊营养混合物的帮助下，康复训练方法可以在缺血性卒中和神经源性吞咽困难患者中实现PAS和FEDSS评估的吞咽功能恢复的显着更好的指标。这种趋势在假性延髓综合征患者组中最为明显。训练方法的应用导致从管到独立喂养的显著更好的过渡。气管插管和机械通气是加重吞咽障碍的另一个因素。
AIM
To evaluate the efficacy of the training method of rehabilitation of patients with neurogenic dysphagia in ischemic stroke carried out with the use of special nutrient mixtures as part of combination therapy.
MATERIAL AND METHODS
The study included 65 patients (35 men and 30 women, aged 45 to 80 years) with dysphagia in the acute period of ischemic stroke. Thirty patients were treated with special binding compounds as part of a combination therapy. Thirty-five patients did not use the mixture. The dynamics of the recovery function of swallowing using PAS (the Penetration-Aspiration Scale) and FEDSS (the Fiberoptic Endoscopic Dysphagia Severity Scale), as well as the transition from tube to independent feeding were studied.
RESULTS AND CONCLUSION
The training method of rehabilitation with the help of special nutritional mixtures allows achieving significantly better indicators of restoration of swallowing function assessed with PAS and FEDSS in patients with ischemic stroke and neurogenic dysphagia. This trend is most pronounced in the group of patients with pseudobulbar syndrome. The application of the training method leads to a significantly better transition from tube to independent feeding. Tracheal intubation and mechanical ventilation are an additional factor aggravating swallowing disorders.