预防住院患者窒息及误吸宣教指导同意书在脑卒中吞咽障碍患者中的应用效果  

Application effect of written consent of education and guidance for the prevention of asphyxia and aspiration of hospitalized patients in patients with cerebral apoplexy complicated with dysphagia

作　　者：王建华[1] 杨秀兰[1] 张宏 袁莉[1] 王丽英[1] 

机构地区：[1]唐山市工人医院神经内科,唐山063000

出　　处：《中国当代医药》2015年第13期192-194,共3页China Modern Medicine

摘　　要：目的：探讨预防住院患者窒息及误吸宣教指导同意书在脑卒中吞咽障碍患者中的应用效果。方法选取本院2011年1月-2014年1月收治的120例脑卒中吞咽障碍患者作为研究对象，随机分为实验组和对照组，各60例。对照组给予常规治疗和护理，实验组在对照组的基础上，根据吞咽功能级别分别依照指导同意书给予不同的饮食指导和吞咽功能训练，比较两组的效果。结果实验组的总有效率为54.4%，显著高于对照组的30.4%，差异有统计学意义（P〈0.05）。实验组的吸入性肺炎及营养不良发生率显著低于对照组，差异有统计学意义（P〈0.05）。结论预防住院患者窒息及误吸宣教指导同意书在脑卒中吞咽障碍患者中的应用效果显著，能够降低并发症发生率，改善吞咽功能障碍，值得临床推广应用。Objective To explore the application effect of written consent of education and guidance for the prevention of asphyxia and aspiration of hospitalized patients in patients with cerebral apoplexy complicated with dysphagia. Methods 120 patients of cerebral apoplexy complicated with dysphagia from January 2011 to January 2014 in our hos-pital were selected and randomly divided into the experiment group and the control group,60 cases in each group.The control group was given regular treatment and nursing,and the experiment group was given different diet guidance and training of swallowing function according to the levels of swallowing function on the basis of the control group.The ef-fect in two groups was compared. Results The total effective rate of the experiment group was 54.4%,which was higher than 30.4%of the control group,with significant difference（P〈0.05）.The incidence rate of aspiration pneumonia and mal-nutrition in the experiment group was lower than that the control group,with significant difference（P〈0.05）. Conclusion The application effect of written consent of education and guidance for the prevention of asphyxia and aspiration of hospitalized patients in patients with cerebral apoplexy complicated with dysphagia is significant,which can reduce the incidence rate of complication,inprove swallow dysfunction,it is worthy of clinical promotion and application.

关 键 词：预防 窒息及误吸 吞咽障碍 

分 类 号：R473.74[医药卫生—护理学]