Effect Of Swallowing Training On Post-stroke Dysphagia And Aspiration Pneumonia After Stroke

BackgroundCerebral stroke is an acute cerebral vascular disease caused by different etiological factors.With the change of people’s life style and the rapid development of society,the risk factors such as hypertension,diabetes,high blood fat,cerebrovascular disease and other risk factors increased year by year,and the incidence rate of stroke was increased.Swallowing is the basic function of maintaining the survival of the human body,its physiological processes,including oral preparation,oral,pharyngeal,esophageal four links,any part of the problem will cause difficulty swallowing.Many medical conditions can cause difficulty in swallowing,such as sudden nerve damage,progressive neuropathy,head and neck tumors,in which stroke is the most common cause.About half of stroke patients have difficulty swallowing.At present,the number of patients with dysphagia after stroke is also increased with the increase of the number of stroke patients,and dysphagia seriously effect the prognosis of patients,and easily complicated with malnutrition,dehydration and suction pneumonia,and it is difficult to effectively control the aspiration pneumonia after stroke.In addition,and then to the rehabilitation of cerebral stroke caused by the direct impact,and have a serious threat to the patient’s life safety.Therefore,early diagnosis and treatment of dysphagia in patients with stroke is very important.Based on this,how to effectively screening,evaluation and treatment of patients with dysphagia after stroke,to achieve the improvement of swallowing function of patients,reduce the incidence of stroke aspiration pneumonia is the research focus of the majority of clinicians.ObjectiveTo investigate the effect of swallowing rehabilitation training on the incidence of aspiration pneumonia after stroke and the recovery of swallowing function in patients with dysphagia after stroke.MethodsSelect in January-2014 to June 2015 during the period of our hospital after stroke dysphagia in hospitalized patients.116 cases were randomly divided into conventional therapy plus swallowing training and electrical stimulating therapy group(intervention group)and conventional therapy plus electrical stimulating therapy group(control group).Patients with esophageal adjacent organs,throat and muscle coordination exercise known as swallowing training and evaluation of patients admitted for 24 hours and swallowing training 3 weeks after the situation,and the two groups of patients in at different time period occurred inhalation pneumonia of statistics.Results(1)Recovery of swallowing function in patients:two groups of patients had varying degrees of difficulty in swallowing when admitted to hospital.Two swallowing function scores between groups was not statistically significant(P>0.05).After swallowing rehabilitation training for three weeks,the intervention group swallowing function basically cured 15 cases,14 cases significantly improved,improved 25 cases,4 cases,total effective rate was 93.10%;the control group basically recovered 11 cases,12 cases significantly improved,improved in 22 cases,13 cases,total effective rate was 77.59%.Swallowing function scores between the two groups,the difference was statistically significant(χ~2 =3.134,P <0.05).(2)Occurrence of aspiration pneumonia: patients were overall incidence of aspiration pneumonia 12.93%(15/116)when admitted to hospital,in which the intervention group was 12.07%(7/58),the control group was 13.79%(8/58),the incidence of aspiration pneumonia between the two groups no significant difference(P>0.05);After swallowing training three weeks,the two groups overall incidence of aspiration pneumonia 33.62 percent,of which the intervention group,the incidence of aspiration pneumonia was 46.55%(27/58)in the control group the incidence of aspiration pneumonia 20.70%(12/58),aspiration pneumonia in the intervention group were significantly lower than the control group,the difference was statistically significant(χ~2 =8.691,P<0.05).ConclusionsRehabilitation training for patients with dysphagia after stroke is helpful to improve the swallowing dysfunction,and can significantly reduce the incidence of aspiration pneumonia after stroke.