早期冰刺激联合吞咽及摄食训练在意识清醒重症脑外伤吞咽障碍患者中的应用  

Effect of early ice stimulation combined with swallowing and feeding training on swallowing dysfunction in patients with severe traumatic brain injury

作　　者：鄢丽[1] KIM Ha-kyung 

机构地区：[1]新余钢铁集团有限公司中心医院神经科,江西新余338000 [2]上海华东师范大学言语听觉科学教育部重点实验室,上海200062

出　　处：《现代临床护理》2016年第3期40-43,共4页Modern Clinical Nursing

基　　金：新余钢铁集团有限公司科研课题;项目编号为2015010102

摘　　要：目的探讨早期冰刺激联合吞咽和摄食训练在意识清醒重症脑外伤吞咽障碍患者中的应用效果。方法选取重症脑外伤合并吞咽障碍意识清醒患者74例,将患者入院先后顺序编号,根据随机数字表法将74例患者分实验组和对照组,每组各37例,对照组实施吞咽及摄食训练,实验组在对照组基础上进行早期冰刺激疗法,连续治疗1个月。观察两组患者吞咽障碍治疗效果。结果实验组患者吞咽障碍治疗效果优于对照组,两组比较,P<0.01,差异有统计学意义。结论早期冰刺激疗法联合吞咽和摄食训练可改善意识清醒重症脑外伤患者的吞咽障碍程度。Objective To study the effect of early ice stimulation therapy combined with swallowing training on swallowing dysfunction after severe traumatic brain injury. Methods Seventy-four patients with severe brain injury complicated with swallowing disorder were randomly divided into experiment group equally： the treatment group was managed with early ice stimulation therapy combined with swallowing training , while the control group was treated with simple swallowing training . The two groups were compared in terms of dysphagia severity by Watian drinking water test . Results There was significant difference between the two groups （ P〈0 . 01 ） . The curative effect of the experiment group was better than that of the control group . Conclusion Early ice stimulation combined with swallowing training can improve the swallowing function in patients with severe traumatic brain injury .

关 键 词：重症脑外伤 吞咽障碍 吞咽训练 早期冰刺激 

分 类 号：R473.6[医药卫生—护理学]