预见性吞咽功能评估及康复护理对脑卒中吞咽障碍患者的康复效果分析  

Rehabilitation Effect of Predictive Swallowing Function Assessment and Rehabilitation Nursing for Stroke Patients with Swallowing Disorders

作　　者：罗超敏[1] LUO Chaomin(Department of Rehabilitation Medicine, Xinyi People＇s Hospital, Maoming 525300, Chin)

机构地区：[1]广东省信宜市人民医院康复医学科,广东茂名525300

出　　处：《临床医学工程》2016年第12期1699-1700,共2页Clinical Medicine & Engineering

摘　　要：目的探讨预见性吞咽功能评估及康复护理对脑卒中吞咽障碍患者的效果。方法选择脑卒中患者80例,分为两组各40例。康复组患者在入院后即用标准化床边吞咽功能检查法评估筛查,有针对性地对吞咽障碍患者进行预见性饮食指导及吞咽功能训练;对照组患者在病程1周后,选择性进行吞咽训练。结果康复组的吸入性肺炎发生率为15.0%,显著低于对照组的37.5%,差异有统计学意义(P<0.05)。康复组的吞咽能力总有效率明显高于对照组(82.5%vs.57.5%,P<0.05)。结论预见性吞咽功能评估能够准确判断脑卒中患者的吞咽情况,通过有效的吞咽运动和感觉训练可降低患者肺炎发生率,改善吞咽状况。Objective To investigate the effect of predictive swallowing function assessment and rehabilitation nursing for stroke patients with swallowing disorders. Methods 80 patients with stroke were divided into two groups equally. Patients in the rehabilitation group were given standardized bedside swallowing assessment screening after admission and targeted predictive guidance and swallowing fimction training. Patients in the control group were given optional swallowing training one week after admission. Results The incidence of aspiration pneumonia of rehabilitation group was 15.0 %, significantly lower than 37.5 % of control group （P 〈0.05）. The total effective rate of swallow ability of rehabilitation group was 82.5%, significantly higher than 57.5% of control group （P 〈0.05）. Conclusions Predictive swallowing function assessment can accurately judge the swallowing situation of stroke patients, and effective swallowing motor and sensory training can lower the incidence of pneumonia and improve the swallowing situation.

关 键 词：脑卒中 吞咽障碍 预见性评估 

分 类 号：R493[医药卫生—康复医学]