体位干预对脑卒中吞咽障碍患者误吸的影响  

Position Intervention on Stroke Patients with Dysphagia Aspiration

作　　者：陈庆妙[1] 潘锋[1] 李美娴[1] 农茵 

机构地区：[1]广西医科大学第七附属医院,梧州543001

出　　处：《当代护士（下旬刊）》2016年第4期3-4,共2页Modern Nurse

基　　金：广西卫生厅科研课题(编号:Z2014503)

摘　　要：目的探讨体位干预对脑卒中吞咽障碍患者误吸的影响。方法将60例急性脑卒中并吞咽障碍患者分为对照组与干预组,每组各30例。对照组进食时摇高床头30～40°,干预组进食时摇高床头30～40°,用头架(头架用颈托改装而成)固定头部,并使头稍向健侧倾斜。比较两组患者误吸发生率。结果干预组患者误吸发生率比对照组明显减少,两组比较差异具有统计学意义(P<0.05)。结论进食时摇高床头30～40°,同时采用三角架固定头部,并使头稍向健侧倾斜可有效地减少脑卒中吞咽障碍患者误吸的发生。Objective To investigate the postural intervention on stroke patients with dysphagia and aspiration impact.Methods 60 patients with acute stroke and dysphagia were divided into a control group and the intervention group,30 cases in each group.Shake control when eating a high bed 30 ～ 40°,the intervention group eating shake when high headboard 30 ～ 40°,with the headstock（ headstock with neck brace refitted） fixed head,and contralateral head slightly tilted.Two groups were compared the incidence of aspiration. Results Aspiration of patients in the intervention group was significantly less than in the control group,the difference was statistically significant（ P 0.05）. Conclusion Shake when eating high bed 30 ～ 40°,while using a tripod fixed head,and head slightly tilted to be effective in reducing the contralateral stroke patients with dysphagia aspiration occur.

关 键 词：脑卒中 吞咽障碍 体位干预 误吸 

分 类 号：R473.74[医药卫生—护理学]