KẾT QUẢ PHỤC HỒI CHỨC NĂNG SỚM VỚI RỐI LOẠN NUỐT Ở NGƯỜI BỆNH NHỒI MÁU NÃO CẤP ĐIỀU TRỊ TẠI KHOA THẦN KINH BỆNH VIỆN BẠCH MAI

Abstract

Background: Stroke is a life-threatening illness. If left without prompt medical treament, stroke resulted in long-term complications for the patient and increasing economic burden. This health condition is the current global issues and Vietnam is not exceptional. Swallowing disorder occurs in 23-65% of post-stroke patients. Among those, dysphagia lead to aspiration pneumonia in 37% following severe consequences.Nowadays, due largely to medical advances, rehabilitation in acute stroke patients contribute to the good outcome. In stroke patients, swallowing disorder is common sign and often accompanied by paralysis. Patient who do not receive early physical therapy is prone to develop muscle atrophy, spasticity, aspiration, pneumonia and malnutrition. Objective: to evaluate initial effectiveness of swallowing rehabilitaton for patients with post-acute stroke dysphagia in Neurology Center of Bachmai Hospital. Methods: a quasi-experiment design were conducted in 96 acute onset dysphagia after stroke patients in Bachmai Hospital from January to June 2021. The Gugging Swallowing Screen was used to assess the dysphagia level of participants. Results: The mean ages of participants was 61 to 70 years old group. After attending the swallowing rehabilitation program, participants reported a significantly improvement in swallowing function (GUSS mean score increased from 11,09 ± 3,37 to 14,31 ± 1,87, p<0,0001). Conclusion: The swallowing rehabilitation program showed promissing results in improving swallowing function in patients with dysphagia after acute stroke.