Swallowing Training On Post-Stroke Dysphagia And Aspiration Pneumonia After Stroke Impact

Objective: To investigate the rehabilitation of swallowing after stroke in patients with dysphagia and swallowing function post-stroke aspiration pneumonia incidence.Methods: Post-stroke dysphagia patients for the 54 cases studied were randomly divided into conventional treatment (including nursing) and swallowing training group (hereinafter referred to as the intervention group) and conventional treatment (including nursing) group (hereinafter referred to as the control group). Swallowing training include: pharynx and esophagus to the adjacent organs and muscle exercise. 24 hours in hospital and two weeks after swallowing the application of training in Japan to promote the rehabilitation of swallowing capacity of the academic assessment of swallowing training standards for evaluation, at the same time when the two groups were observed in patients admitted to hospital and rehabilitation after 14 days after the occurrence of aspiration pneumonia cases.Results: The recovery of swallowing function: when the two groups of patients were admitted to the existence of varying degrees of difficulty swallowing, swallowing function between the two groups no significant difference in score. After two weeks of rehabilitation training, the basic intervention group recovered swallowing function (effect evaluation criteria score> 9 points) in 5 cases, a marked improvement (score increased by 6 to 8 pm), 4 cases improved (score increased by 3 ~ 5 min) were 13 cases, ineffective (a score of 1 to 2 minutes) in 2 cases, total effective rate was 91.7%; control group healed in 6 patients, a marked improvement in 6 patients, improved in 12 cases, 6 cases were ineffective, and the total effective 80%. Training for swallowing function between the two groups evaluate the efficacy of the standard score, as statistical analysis, there are significant differences. The two groups the occurrence of aspiration pneumonia cases as follows: aspiration pneumonia admitted to hospital early the overall incidence was 14.8%, and 5.56% for the intervention group, the control group was 9.26%, aspiration pneumonia between the two groups the incidence of no significant difference; Swallowing training for two weeks when the incidence of aspiration pneumonia as follows: overall incidence of aspiration pneumonia was 37.0%, of which the intervention group the occurrence of aspiration pneumonia rate was 29.2%, control group, the incidence of aspiration pneumonia rate was 43.3%, intervention group the occurrence of aspiration pneumonia was lower than the control group, by statistical analysis, two groups the incidence of aspiration pneumonia with a significant difference.Conclusion: The rehabilitation of dysphagia can be effective in improving post-stroke patients with swallowing difficulty swallowing function after stroke can reduce the occurrence of aspiration pneumonia.