YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ ĐIỀU TRỊ RỐI LOẠN NUỐT Ở NGƯỜI BỆNH NHỒI MÁU NÃO BẰNG CÁC BÀI TẬP NUỐT KẾT HỢP CHẤT LÀM ĐẶC THỨC ĂN

Abstract

Objectives: Identifying some factors to results of swallowing disorder treatment in patients with ischemic stroke by swallowing exercises combined with food thickeners agents. Patients and methodology: Intervention study comparing before and after treatment was conducted on 33 stroke patients with swallowing disorder at Hanoi Rehabilitation Hospital. Results: Patients entering the hospital had mild to moderate swallowing disorders, accounting for 87.9%, with only a small number of patients having severe swallowing disorders, at 12.2%. Evaluation after 15 days of intervention did not show any difference between age and treatment results (p>0.05). There was no difference between genders in the treatment results of the groups without swallowing disorders, mild, moderate and severe swallowing disorders. There is a difference in the rate of damage to the right hemisphere and left hemisphere with the results of swallowing disorder recovery (p<0.05). The difference was statistically significant at all 3 intervention times of 1-4 weeks (<0.001); 1-2 months (p=0.001) and >2 months (<0.01) show that early intervention affects treatment results after 15 days. Conclusion: We found a difference in the rate damage to the right and left hemispheres results in recovery of swallowing disorders (p<0.05). The earlier the swallowing intervention is initiated, the higher the likelihood of recovery from swallowing disorders, and the rate of recovery of swallowing function is higher in the group of patients with early intervention less than 1 month. No relationship between age and gender on treatment outcomes has been found.