综合康复治疗在改善高血压脑出血患者术后吞咽功能及预后中的应用

Application of comprehensive rehabilitation therapy in improving postoperative swallowing function and prognosis in patients with hypertensive intracerebral hemorrhage

摘要:

目的 对高血压脑出血患者采用综合康复治疗，观察对其吞咽功能以及预后的影响。方法 选取2022年3月至2023年3月郑州市第七人民医院高血压脑出血手术患者100例，采取随机数字分配法分为两组，各50例。术后对照组采用常规术后治疗，观察组在对照组基础上联合综合康复治疗，比较两组患者的生活质量、吞咽功能评价量表（SSA）、日常生活活动（ADL）评分、临床疗效以及并发症发生率。结果 治疗后观察组SSA评分低于对照组，ADL评分高于对照组（P<0.05）；两组总有效率比较，观察组94.00% vs. 对照组80.00%（P<0.05）；治疗后观察组的精力、语言、思维能力评分均高于对照组（P<0.05）；两组并发症发生率比较，观察组4.00% vs.对照组16.00%（P<0.05）。结论 对高血压脑出血患者采用综合康复治疗有利于提高患者的吞咽功能障碍的恢复速度，患者的自理能力以及生活质量均有所改善，增加临床治疗效果，减少并发症。

Abstract:

Objective To observe the effect of comprehensive rehabilitation therapy on swallowing function and prognosis of patients with hypertensive intracerebral hemorrhage.Methods A hundred patients underwent hypertensive cerebral hemorrhage surgery from March 2022 to March 2023 in the Seventh People's hospital were selected. They were divded into two groups using random number allocation method, 50 patients in each group. After the operation, the control group adopted the conventional rehabilitation treatment, and the observation group adopted comprehensive rehabilitation therapy on the basis of the control group. The life quality, swallowing function evaluation scale (Standardized Swallowing Assessment, SSA), activity of daily living (ADL) score, clinical efficacy, and complication rate between the two groups were compared.Results After treatment, SSA score was lower and ADL score was higher in the observation group than in the control group (P<0.05). There was statistically significant diference in treatment efficiency between the two groups (94.00% in the observation group vs. 80.00% in the control group, P<0.05). After treatment, the energy, language, and thinking ability scores in the observation group were higher than those in the control group (P<0.05). There was statistically significant diference in complication rate between the two groups (4.00% in the observation group vs. 16.00% in the control group, P<0.05).Conclusion Comprehensive rehabilitation treatment for patients with hypertensive cerebral hemorrhage is beneficial to improve the recovery speed of swallowing dysfunction, improve the self-care ability and quality of life, increase the clinical treatment effect and reduce complications.