酸刺激结合康复护理在脑卒中吞咽障碍患者中的临床价值-现代医学

酸刺激结合康复护理在脑卒中吞咽障碍患者中的临床价值

单位：1. 同济大学附属东方医院麻醉科, 上海 200120;
2. 同济大学附属上海市第十人民医院新生儿重症监护室, 上海 200072

分类号：R473.5

出版年·卷·期（页码）：2020·48·第二期（284-287）

摘要：

目的： 探讨酸刺激结合康复护理在脑卒中吞咽障碍患者中的应用价值。方法： 选取上海市第十人民医院收治的脑卒中吞咽障碍患者130例进行研究，按照随机数字表法进行分组，对照组65例，采用常规康复治疗及护理干预；观察组65例，在对照组的基础上行酸刺激训练，对比两组的治疗效果。结果： 观察组患者的临床总有效率显著高于对照组（P<0.05）；治疗前，两组患者在吞咽功能评分（SSA）方面对比无较大差异性（P>0.05），干预后，观察组显著优于对照组（P<0.05）；观察组患者并发症发生率明显低于对照组（P<0.05）。结论： 采用酸刺激结合康复护理方式对脑卒中吞咽障碍患者进行干预可显著改善患者病情，改善患者吞咽功能，安全性较高，可推广应用。

Objective: To explore the value of acid stimulation combined with rehabilitation nursing in patients with dysphagia due to stroke. Methods: 130 patients with stroke dysphagia admitted to Shanghai 10th People's Hospital were selected and grouped according to the random number table method. 65 cases in the control group were treated with routine rehabilitation and nursing intervention, on top of which 65 cases in the observation group were trained by acid stimulation, and the therapeutic effects of the two groups were compared. Results: The total clinical effective rate of the observation group was significantly higher than that of the control group (P<0.05). Before treatment, there was no significant difference in the swallowing function score (SSA) between the two groups (P>0.05). The observation group was significantly better than the control group after treatment (P<0.05); the incidence of complications in the observation group was significantly lower than that in the control group (P<0.05).Conclusion: Acid stimulation combined with rehabilitation nursing methods treating stroke patients with dysphagia can significantly improve the patient's condition, improve the swallowing function of patients, and has a higher safety and can be promoted and applied.

参考文献：

[1] 吴志媛,李飞,程红亮,等.冷刺激配合舌肌训练对脑卒中后吞咽障碍的护理体会[J].安徽医学,2011,32(11):1920-1921.
[2] ANNA G S,ESTER M,JOAN M O,et al.Usefulness of the volume-viscosity swallow test for screening dysphagia in subacute stroke patients in rehabilitation income[J].Neurorehabilitation,2013,33(4):631-638.
[3] KALRA L,IRSHAD S,HODSOLL J,et al.Prophylactic antibiotics after acute stroke for reducing pneumonia in patients with dysphagia(STROKE-INF):A prospective,cluster-randomised,open-label,masked endpoint,controlled clinical trial[J].Lancet,2015,386(10006):1835-1844.
[4] 曹清莲,王桂荣,吕义荣,等.运动想象疗法在脑卒中吞咽障碍患者康复护理中的应用[J].护理学杂志,2014,29(1):13-15.
[5] 陈璐.时间护理结合酸刺激在脑卒中吞咽障碍病人护理中的应用[J].护理研究,2014,28(8):995-996.
[6] 魏冬侠,孙洁.维生素C酸刺激法改善脑卒中患者吞咽障碍的效果观察[J].护士进修杂志,2013,28(2):169-171.
[7] ALKHALED M,MATTHIS C,BINDER A,et al.Dysphagia in patients with acute ischemic stroke:Early dysphagia screening may reduce stroke-related pneumonia and improve stroke outcomes[J].Cerebrovas Dis,2016,42(1-2):81.
[8] 凌彩坚,苏善英,雷丽娟,等.含服酸冰块对脑卒中吞咽障碍患者吞咽功能的改善作用[J].护理学杂志,2015,30(17):14-15.
[9] 徐晓明,段隽丹,杨麟.神经肌肉电刺激与酸性刺激治疗急性脑卒中吞咽障碍口腔期的效果[J].中国康复理论与实践,2017,23(2):194-198.
[10] 李凤玉,龚献莲.电动牙刷口颜面部震动按摩对脑卒中后吞咽障碍患者吞咽功能的影响[J].广西医学,2017,39(8):1279-1280.
[11] 朱美红,时美芳,万里红,等.吞咽-摄食管理预防脑卒中吞咽障碍患者相关性肺炎的研究[J].中华护理杂志,2016,51(3):294-298.
[12] YANG S N,PYUN S B,KIM H J,et al.Effectiveness of non-invasive brain stimulation in dysphagia subsequent to stroke:A systemic review and meta-analysis[J].Dysphagia,2015,30(4):383-391.
[13] 蒋桂花,林强,周素萍,等.凝固粉在脑卒中吞咽障碍患者康复护理中的效果研究[J].护士进修杂志,2013,28(11):969-971.
[14] JAAFAR M H,MAHADEVA S,MORGAN K,et al.Percutaneous endoscopic gastrostomy versus nasogastric feeding in older individuals with non-stroke dysphagia:A systematic review[J].J Nutr Health Aging,2015,19(2):190-197.
[15] 陈曦,范柏林,凌慧芬.标准吞咽功能评价量表在吞咽障碍患者胃管拔管时机中的应用[J].现代临床护理,2016,15(2):30-33.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录