脑卒中后球麻痹患者吞咽康复护理疗效与经济成本分析  

Effect and economic cost analysis of swallowing rehabilitation nursing for patients with bulbar palsy after stroke

作　　者：郑瑾[1] 陈萍[1] 庞启英[1] Zheng Jin;Chen Ping;Pang Qiying(Huashan Hospital of Fudan University,Shanghai 200040)

机构地区：[1]复旦大学附属华山医院,上海200040

出　　处：《护士进修杂志》2018年第24期2211-2215,共5页Journal of Nurses Training

基　　金：上海市科技攻关计划项目(编号:16411955400;17411953900);上海市卫计委重要薄弱学科建设项目(编号:2015ZB0401)

摘　　要：目的分析脑卒中后真性、假性球麻痹的护理疗效及成本投入。方法选取我院康复医学科2015年1月-2017年8月收治的初次发病的脑卒中后球麻痹患者80例,按照诊断结果分为两组,真性球麻痹组40例,假性球麻痹组40例,均采用综合性吞咽康复护理干预1个月,康复前后采用洼田饮水试验、标准吞咽功能评价量表和X线荧光透视对患者的护理疗效进行评定,观察两组患者康复的疗效差异;同时对两组患者住院费用等经济成本进行对比,研究其存在差异性的原因。结果假性球麻痹患者康复效果优于真性球麻痹患者,并且住院费用较低,并发症少。结论假性球麻痹对康复护理的敏感性优于真性球麻痹,真性球麻痹患者住院治疗经济成本较高。Objective To analyze the nursing effect and cost input of bulbar palsy and pseudobulbar palsy after stroke.Methods 80 patients with post-stroke bulbar paralysis were selected from January 2015 to August 2017 in the Department of rehabilitation medicine of our hospital.According to the diagnosis results,they were divided into two groups:true bulbar paralysis group(40 cases)and pseudobulbar paralysis group(40 cases).All patients received comprehensive swallowing rehabilitation nursing intervention for one month.Before and after rehabilitation,Watian drinking water test,standard swallowing function evaluation scale and X-ray fluoroscopy were used to evaluate the nursing efficacy of patients,and the difference of rehabilitation efficacy and economic costs between the two groups was observed and compared.The reason for the difference was also studied.Result The rehabilitation effect of pseudobulbar palsy was better than that of bulbar paralysis,the hospitalization expenses were lower and the complications were fewer.Conclusion The sensitivity of pseudobulbar palsy to rehabilitation nursing is better than that of bulbar paralysis.

关 键 词：脑卒中 球麻痹 康复护理 经济成本 

分 类 号：R473.74[医药卫生—护理学]