脑卒中后假性球麻痹致吞咽障碍24例康复护理  

Rehabilitated nursing care in the treatment of 24 patients with dysphagia caused by pseudobulbar palsy after stroke

作　　者：李明开[1] 孙延文[1] 刘玲[1] 

机构地区：[1]山东省千佛山医院,山东济南250014

出　　处：《齐鲁护理杂志》2009年第1期18-19,共2页Journal of Qilu Nursing

摘　　要：目的:探讨脑卒中后假性球麻痹致吞咽障碍的康复护理方法。方法:将46例脑卒中后假性球麻痹致吞咽障碍患者随机分为对照组22例和康复组24例,对照组采用神经内科常规治疗与护理和鼻饲插管,康复组除常规治疗与护理及鼻饲插管外,采用洼田氏饮水试验进行评价及吞咽功能、摄食功能的康复训练。结果:两组4周后进行吞咽功能评价,康复组有效率95.8%,对照组有效率69.2%,两组比较有显著性差异(P<0.01)。结论:脑卒中后假性球麻痹吞咽障碍的患者接受吞咽功能和摄食训练治疗能明显改善吞咽障碍,可减少并发症,并减轻护士及家属的负担。Objective： To explore rehabilitated nursing care in the treatment of dysphagia caused by pseudobulbar palsy after stroke. Methods ： Forty six patients with dysphagia were randomly divided into control group （ n = 22 ） and rehabilitation group （ n = 24 ）. In control group, using conventional treatment and neurological care and nasal feeding; in rehabilitation group, in addition to conventional treatment and care and nasogastric intubation, using Watian drinking water test to evaluate patients＇s wallowing function and feeding functional rehabilitation. Results ： Four weeks after the evaluation of swallowing function, the effective rate in rehabilitation group was 95.8% and 69.2% in control group. There were significantly differences between the two groups （P 〈 0.01）. Conclusion： For the patients with dysphagia caused by pseudobulbar palsy after stroke, swallowing function and feeding training can significantly improve the treatment of dysphagia, reduce complications and the burden of nurses and their families as well.

关 键 词：脑卒中 假性球麻痹 吞咽障碍 康复 

分 类 号：R473.5[医药卫生—护理学]