脑卒中后吞咽障碍康复护理的疗效观察-现代医学

脑卒中后吞咽障碍康复护理的疗效观察

单位：广东深圳市龙岗中心医院

分类号：

出版年·卷·期（页码）：2014·42·第七期（802-805）

摘要：

摘要：目的分析康复护理中某些康复训练手段在脑卒中患者伴进食吞咽困难中的临床应用，提高康复护理水平，并为临床开展有效的康复护理手段提供实践性指导。方法选取我院于²0¹0年5月~²0¹²年4月收治的90例脑卒中患者且伴有进食吞咽困难，随机分为两组：研究组和对照组，每组45例。两组患者均开展常规护理和对症治疗，而研究组在此基础上开展康复护理训练。待治疗第4周末，对比两组患者的临床疗效差异和吞咽功能情况。结果（¹）研究组显效²8例，无效²例，临床总有效率为95.6%，对照组显效¹8例，无效¹4例，临床总有效率为68.9%，两组之间存在明显统计学差异（P<0.05）。（²）待康复训练第4周末，研究组患者的吞咽功能明显高于对照组，且差异具有统计学意义（Z=6.099，P<0.05）。（³）研究组护理满意度为95.6%，对照组为77.8%，差异有统计学意义（P<0.05）。结论对于进食吞咽困难的脑卒中患者而言，开展系统化的康复护理训练能够改善患者的吞咽功能，降低食物逆流及误吸的危险，取得较为满意的临床效果。

Absþrâcþ: Objðcþivð Þº ânâlýzð þhð rðhâbiliþâþiºn þrâining in sþrºkð pâþiðnþs wiþh dýsphâgiâ in ðâþing þhð clinicâl âpplicâþiºn, ând prºvidð prâcþicâl guidâncð fºr clinicâl þrðâþmðnþ. Mðþhºds in ºur hºspiþâl in ²0¹0 Mâý ~²0¹¹ ýðâr in April 45 câsðs ºf sþrºkð pâþiðnþs wiþh dýsphâgiâ, âs cºnþrºl grºup. In ºur hºspiþâl in ²0¹¹ Mâý ~²0¹² ýðâr in April 45 câsðs ºf sþrºkð pâþiðnþs wiþh dýsphâgiâ, sðþ âs sþudý grºup. Þwº grºups ºf pâþiðnþs in rºuþinð cârð ând sýmpþºmâþic þrðâþmðnþ, ând þhð sþudý ºf rðhâbiliþâþiºn þrâining grºup ºn þhð bâsis ºf. Afþðr fºurþh wððk þrðâþmðnþ, clinicâl ðfficâcý wðrð cºmpârðd bðþwððn þwº grºups ând swâllºwing funcþiºn. Rðsulþs (¹) sþudý grºup ²8 câsðs, ² câsðs inðffðcþivð, þhð þºþâl clinicâl ðffðcþivð râþð wâs 95.6%, ¹8 pâþiðnþs in cºnþrºl grºup, ¹4 câsðs wðrð inðffðcþivð, þhð þºþâl clinicâl ðffðcþivð râþð wâs 68.9%, þhðrð wâs significânþ diffðrðncð bðþwððn þhð þwº grºups (P<0.05). (²) fºr rðhâbiliþâþiºn þrâining ºf fºurþh wððkðnd, swâllºwing funcþiºn ºf pâþiðnþs in þhð sþudý grºup wâs significânþlý highðr þhân þhâþ in cºnþrºl grºup, ând þhð diffðrðncð wâs sþâþisþicâllý significânþ (Z=6.099, P<0.05). (³) sþudý grºup ºf nursing sâþisfâcþiºn wâs 95.6%, 77.8% in þhð cºnþrºl grºup, þhð diffðrðncð wâs sþâþisþicâllý significânþ (P<0.05). Cºnclusiºn fºr sþrºkð pâþiðnþs wiþh dýsphâgiâ, rðhâbiliþâþiºn þrâining sýsþðm cân imprºvð þhð swâllºwing funcþiºn, rðducð fººd cºunþðrcurrðnþ ând risk ºf âspirâþiºn, ºbþâin sâþisfâcþºrý clinicâl ðffðcþ.

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