摘要
目的：探讨康复护理对脑卒中后吞咽障碍患者吞咽功能恢复的影响。方法选取2013年1月至2015年12月本院收治的200例脑卒中后吞咽障碍患者随机分成2组,每组100例,观察组采用吞咽功能训练康复护理方法,对照组进行常规护理。分别在患者入院第一餐前和治疗后第28天对吞咽功能进行评价,比较两组治疗后的吞咽功能恢复优良率。结果两组患者经为期4周的对症治疗与护理,吞咽功能均有所恢复。观察组经康复护理总有效率为82.0％；对照组经常规护理总有效率为65.0％。观察组护理总有效率明显高于对照组,差异有统计学意义（χ2＝12.357,P〈0.05）；观察组护理有效率为97.0％明显高于对照组86.0％的有效率,差异有统计学意义（ P〈0.05）；与治疗前相比,两组VFSS评分均得以提高,且观察组VFSS评分明显高于对照组,差异有统计学意义（P〈0.05）。结论对于脑卒中后吞咽障碍患者及时给予康复护理,可明显促进患者吞咽功能的恢复,保证营养供应,减少并发症,提高生活质量。
Objective To explore the effect of rehabilitation nursing on swallowing function recovery of patients with dysphagia after stroke. Methods From January 2013 to December 2015, 200 patients with dysphagia after stroke were selected, which were randomly divided into 2 groups, 100 cases in each group, observation group with swallowing function training and rehabilitation nursing method, the control group with routine nursing. The swallowing function was evaluated before and after the first meal and twenty-eighth days after treatment, respectively. The excellent rates of swallowing function recovery after treatment were compared between the 2 groups.Results The two groups of patients after a period of 4 weeks of symptomatic treatment and care, swallowing function were restored. The total effective rate of observation group was 82%, and the total effective rate of control group was 65%. Total effective rate of observation group was obviously higher than that of control group, the difference was statistically significant （χ2=12.357, P〈0.05）;The effective rate of nursing care in the observation group was 97%, significantly higher than that in the control group （ 86%） , the difference was statistically significant （P〈0.05）.Conclusions For patients with swallowing disorder after stroke in a timely manner to give rehabilitation nursing, can obviously promote the recovery of patients with swallowing function, guarantee the nutrition supply, reduce the complications, and improve the quality of life.
出处
《齐齐哈尔医学院学报》
2016年第20期2592-2594,共3页
Journal of Qiqihar Medical University
关键词
脑卒中
吞咽障碍
康复
护理
Cerebral apoplexy
Swallowing dysfunction
Rehabilitation
Nursing
