摘要
目的探讨中西医结合护理对气管切开术后患者吞咽功能恢复的应用效果。方法采用前瞻性对照研究,选取2024年1月—2024年8月60例气管切开术患者,随机分为观察组与对照组各30例。对照组实施常规护理,观察组在常规护理基础上加用中医辨证护理(包括湿敷、耳穴疗法、温灸、穴位按摩及贴敷等)。分别于术后1、4、12周采用洼田饮水试验及吞咽障碍问卷(SSQ)评估吞咽功能,并记录并发症发生情况。结果观察组在各时间点的吞咽功能评分均显著优于对照组。术后12周时,观察组洼田饮水试验评分(4.7±0.5 vs.3.6±1.1)和SSQ评分(15.2±3.1 vs.22.7±4.5)均显著改善,且并发症发生率更低(6.7%vs.20.0%)。结论中西医结合护理可有效促进气管切开术后患者吞咽功能恢复,降低并发症发生率,具有临床推广价值。
Objective To explore the application effect of integrated traditional Chinese and Western medicine nursing on the recovery of swallowing function in patients after tracheotomy.Methods A prospective controlled study was conducted.Sixty patients who underwent tracheotomy from January 2024 to August 2024 were randomly divided into an observation group and a control group,with 30 cases in each group.The control group received conventional nursing,while the observation group received additional traditional Chinese medicine syndrome differentiation nursing(including wet compress,auricular point therapy,moxibustion,acupoint massage,and application of plasters,etc.)on the basis of conventional nursing.The swallowing function was evaluated by the Wada drinking test and the Swallowing Status Questionnaire(SSQ)at 1,4,and 12 weeks after surgery,and the occurrence of complications was recorded.Results The swallowing function scores of the observation group were significantly better than those of the control group at each time point.At 12 weeks after surgery,the Wada drinking test score(4.7±0.5 vs.3.6±1.1)and SSQ score(15.2±3.1 vs.22.7±4.5)of the observation group were significantly improved,and the incidence of complications was lower(6.7%vs.20.0%).Conclusion Integrated traditional Chinese and Western medicine nursing can effectively promote the recovery of swallowing function in patients after tracheotomy and reduce the incidence of complications,which has clinical promotion value.
作者
邢心畅
XING Xin-chang(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine(National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion),Tianjin 300193,China)
出处
《继续医学教育》
2025年第7期130-134,共5页
Continuing Medical Education
关键词
气管切开术后护理
西医护理
吞咽功能恢复
中医护理
并发症
nursing of post-tracheotomy patients
western medicine nursing
swallowing function recovery
traditional Chinese medicine nursing
complications
