| 摘要: |
| ［摘要］ 目的 观察认知功能训练对脑损伤后假性球麻痹吞咽障碍患者康复的影响。方法 脑损伤假性球麻痹患者50例，分为认知正常组25例，认知障碍组25例，两组均采用综合性吞咽康复治疗，在此基础上伴认知障碍组25例同时采用认知功能训练。采用洼田饮水试验、标准吞咽功能评价量表（SSA）以及吞咽X线荧光透视检查(VFSS)进行治疗前后吞咽障碍程度评定，评估认知功能训练对脑损伤后假性球麻痹吞咽障碍患者康复的影响。结果 康复治疗4周后，认知障碍组患者经过综合的吞咽和认知功能训练，疗效仍然较单纯球麻痹性吞咽障碍患者的康复疗效差，证明认知障碍影响假性球麻痹患者吞咽障碍康复治疗的疗效。结论 认知功能影响假性球麻痹患者吞咽障碍的康复治疗疗效，对于伴有认知障碍的假性球麻痹患者,认知功能的提高对吞咽功能的改善具有重要意义。 |
| 关键词: 脑损伤 假性球麻痹 认知障碍 |
| DOI：10.3969/j.issn.1674-3806.2018.01.01 |
| 分类号:R 493 |
| 基金项目:上海市科学技术委员会科研计划项目（编号：16411955400）；上海市卫生计生系统重要薄弱学科建设计划项目（编号：2015ZB0401） |
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| Effect of disgnosia on pseudobulbar palsy after brain injury |
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TIAN Shan, WU Jun-fa, LIU Gang, et al.
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Department of Rehabilitation Medicine, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China
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| Abstract: |
| ［Abstract］ Objective To analyze the effect of cognitive impairment on the clinical efficacy of rehabilitation therapy in patients with pseudobulbar palsy induced by brain injury.Methods 50 patients with pseudobulbar palsy induced by brain injury were treated with comprehensive swallowing rehabilitation therapy, including 25 cases of cognitive impairment who were given extra cognitive training. The swallowing disorders were assessed by Watian drinking water test, standardized swallowing assessment(SSA) and video fluoroscopic swallowing study(VFSS) before and after the therapy.Results The swallowing improvement effect of cognitive impairment in the patients with pseudobulbar palsywas was worse than that in the patiens with only pseudobulbar palsy, which demonstrates the negative effect of cognitive impairment on pseudobulbar palsy.Conclusion Cognitive function affects the rehabilitation effect of swallowing therapy. It is important for the patients with pseudobulbar palsy to get their cognitive function improved if they have disgnosia. |
| Key words: Brain injury Pseudobulbar palsy Disgnosia |
