《中国康复理论与实践》

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脑卒中吞咽障碍康复治疗进展①

王刚,黄葵   

  1. 沈阳市红十字会医院神经内科,辽宁沈阳市110013。
  • 出版日期:2016-02-25 发布日期:2016-06-01

Advances in Rehabilitation Therapy for Dysphagia after Stroke (review)

WANG Gang, HUANG Kui   

  1. Shenyang Red Cross Hospital, Shenyang, Liaoning 110013, China
  • Published:2016-02-25 Online:2016-06-01

摘要: 脑卒中吞咽障碍治疗方法包括运动治疗和代偿技术(含神经发育疗法)、神经肌肉电刺激、表面肌电生物反馈、非侵入性脑刺激、球囊导管扩张术、针灸、药物和手术治疗。运动治疗和代偿技术是治疗基础,舌喉复合体向上向前运动是治疗核心,要强调早期、主动性、个体化、多种方法联合治疗,同时要注意患者营养及吸入性肺炎的防治。

关键词: 脑卒中, 吞咽障碍, 康复治疗, 综述

Abstract: The rehabilitation therapeutic method of dysphagia after stroke included movement therapy and compensatory technology (including neurodevelopmental therapy), neuromuscular electrical stimulation, surface electromygraphy biofeedback training, non-invasive brain stimulation, balloon ductal dilatation technique, acupuncture and moxibustion, drug, and surgical treatment. The movement therapy and compensatory technology were the basis of therapy and the upward and forward movements of tongue-throat complex were the core of therapy. The combined treatments of early, initiative, individual, and various methods were emphasized, while the nutrition and the prevention and cure of aspiration pneumonia of patients should be paid attention to.

Key words: stroke, dysphagia, rehabilitation, review