内科

目的分析早期吞咽功能康复训练在血管性帕金森综合征（VP）合并吞咽障碍患者中的应用效果。方法选取70例血管性帕金森综合征合并吞咽障碍患者为研究对象，并将其随机分为两组，对照组35例给予常规治疗，实验组35例在对照组治疗的基础上联合早期吞咽功能康复训练。对两组患者的疗效与并发症情况进行对比分析。结果对照组患者的治疗总有效率为34.3%；实验组为60%，两组比较差异具有统计学意义（P＜0.05）。对照组患者的总淋巴细胞计数（TLC）、血红蛋白（Hb）、血清蛋白（ALB）、血清总蛋白（TP）等营养学指标明显低于实验组患者，两组比较差异具有统计学意义（P＜0.05）。对照组患者吸入性肺炎的发生率为31.4%；实验组患者吸入性肺炎的发生率为8.6%，两组比较差异具有统计学意义（P＜0.05）。结论在常规治疗的基础上联合早期吞咽功能康复训练可提高患者的疗效，改善患者的吞咽困难，减少并发症，操作简单易行、安全性高，应在临床治疗中普及应用。

ObjectiveTo investigate the clinical effect of early rehabilitation training of swallowing function on vascular Parkinson’s syndrome (VP) patients with dysphagia. Methods70 VP patients with dysphagia were randomly divided into two groups, control group(n=35) was given conventional treatment, while the experimental group (n=35)was received early rehabilitation training on the based of routine treatment.The curative effect and complications of the two groups were analyzed. ResultsThe treatment efficiency in experimental group (60%) was significantly higher than in control group(34.3%)(P＜0.05); the level of TLC, Hb,ALB and TP in control group were significantly lower than those in experimental group(P＜0.05); the aspiration pneumonia incidence in the experiment group(8.6%) was significantly lower than that in control group(31.4%) (P＜0.05). ConclusionsConventional treatment combined with early rehabilitation training of swallowing function can improve swallowing function of VP patients with dysphagia, reduce complications, improve curative effect, and the operation is simple and safe, which should be popularized.