卒中后吞咽障碍,言语障碍。(副本)

安图县中医医院康复中心

<h3>脑卒中是排名第一的国民死亡原因</h3><h3>国内流行病学显示</h3><h3>卒中后吞咽障碍的发生率为62.5%</h3> <h3>卒中后患者流涎、饮水呛咳、进食困难、这是我们对吞咽障碍的第一印象。那么到底什么是吞咽障碍呢?</h3> <h3><font color="#010101"><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;">吞咽障碍是指由于下颌、双唇、舌、软腭、</h3></font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">咽喉、食管等器官结构或功能受损,</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">不能安全有效的把食物输送到胃内的过程。</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">&nbsp;</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">正常吞咽是一个流畅、协调的过程</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">通常<strong style="max-width: 100%; word-wrap: break-word !important;">口腔、咽、食管</strong>被比喻为一个</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">由<strong style="max-width: 100%; word-wrap: break-word !important;">括约肌</strong>划分的能够舒张和收缩的管道</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">称之为<strong style="max-width: 100%; word-wrap: break-word !important;">上消化道</strong>。</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">通过上消化道括约肌的序贯收缩和舒张作用</font></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; text-align: center; word-wrap: break-word !important;"><font color="#010101">分别在食团前后产生负性吸引力及正性压力把食团推进</font></h3> <h3>冰刺激:患者坐位或半坐位,张口发“啊”音,先用冰棉棒大面积擦刷患者患侧面颊、口周及咽喉部,至皮肤微微发红;接着用冰棉棒进行反复涂擦刺激患者软腭、腭弓、舌根、咽后壁、舌面及舌体两侧,然后让患者做吞咽动作5 次,每次训练时间为20 分钟,每日2-3 次。具体训练时间因人而异,以患者能耐受无不适为宜。</h3> <h3>适应症</h3><h3>1、符合脑卒中后吞咽困难诊断标准,年龄在7岁—75岁</h3><h3>2、洼田饮水试验3级—5级</h3><h3>3、意识清楚,生命体征平稳,无听觉言语理解障碍</h3> <h3>吞咽神经肌肉电刺激仪用于吞咽功能障碍的治疗及训练,通过输出特定的低频脉冲电流对喉颈部神经肌肉进行电刺激,兴奋神经及吞咽肌群,促进受损神经复苏,加强吞咽肌群的运动,缓解神经元麻痹、促进吞咽反射弧功能重建与恢复,进而提高吞咽及语言能力。适用于咽部非机械原因操作引起的吞咽及构音障碍治疗及训练。近年已成为临床最常用的吞咽障碍治疗手段。</h3> <h1><b>同时也要进行言语训练!我院新引进康复言语评估训练系统</b></h1><h3></h3> <h1><b>利用图片与模型进行触、视、听对卒中患者进行认知言语康复训练!</b></h1>