家庭赋权方案联合舌三针在老年脑卒中后吞咽障碍患者中的应用  

Effects of comprehensive geriatric assessment-based family empowerment program combined with tongue three-needle in dysphagia after senile stroke

作　　者：赵越 李宗云[1] 尹海潮[2] 张春宝[1] 朱建国[2] Zhao Yue;Li Zongyun;Yin Haichao;Zhang Chunbao;Zhu Jianguo(Department of Clinical Pharmacy,Harrison International Peace Hospital,Hebei Province,Hengshui 053000,China;Department of Neurology,Harrison International Peace Hospital,Hebei Province,Hengshui 053000,China)

机构地区：[1]河北省哈励逊国际和平医院临床药学科,衡水053000 [2]河北省哈励逊国际和平医院神经内科,衡水053000

出　　处：《中华现代护理杂志》2020年第22期3029-3033,共5页Chinese Journal of Modern Nursing

基　　金：衡水市科技计划项目(2017014050Z)。

摘　　要：目的:探讨老年综合评估的家庭赋权方案联合舌三针应用于老年脑卒中后吞咽障碍的效果。方法:选取2017年2月—2019年2月哈励逊国际和平医院收治的50例老年脑卒中合并吞咽障碍患者进行研究,按照随机分组的方式分为试验组和对照组,每组各25例。试验组采用基于老年综合评估的家庭赋权方案联合舌三针进行治疗,对照组采用单纯的舌三针进行治疗。比较两组患者治疗前后的吞咽功能和舌骨喉复合体动度、营养状况改善情况以及治疗效果。结果:干预后,试验组患者干预后的洼田饮水评分和脑卒中后电视透视吞咽功能检查量表评分均低于对照组,差异有统计学意义(P<0.05)。试验组的微型营养评定得分、血清白蛋与血红蛋白水平均优于对照组,差异有统计学意义(P<0.01)。试验组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.01)。结论:采用基于老年综合评估的家庭赋权方案联合舌三针治疗老年脑卒中后吞咽障碍可以较明显地改善患者的吞咽功能,能够促进患者身体的康复,具有较高的临床应用价值。Objective:To explore the effect of comprehensive geriatric assessment-based family empowerment program combined with tongue three-needle in dysphagia after senile stroke.Methods:From February 2017 to February 2019,we selected 50 senile stroke patients with dysphagia in Harrison International Peace Hospital.All patients were randomly divided into experimental group and control group,25 cases in each group.Experimental group used the comprehensive geriatric assessment-based family empowerment program combined with tongue three-needle for treatment,and control group was treated with the simple tongue three-needle.We compared the swallowing function,velocity of hyolaryngeal excursion,nutritional status and treatment effect of patients between two groups before and after treatment.Results:After intervention,scores of Water Swallowing Test and Videofluoroscopic Swallowing Study of patients of both groups were lower than those before intervention,and scores of Water Swallowing Test and VFSS of patients in experimental group were lower than those in control group with statistical differences(P<0.05).The score of Min Nutrition Assessment Short Form(MNA-SF),serum albuminand hemoglobin of experimental group were better than those of control group with statistical differences(P<0.01).The total effective rate of experimental group was higher than control group also with a statistical difference(P<0.01).Conclusions:The use of comprehensive geriatric assessment-based family empowerment program combined with tongue three-needle in dysphagia after senile stroke can significantly improve patients'swallowing function,promote the physical recovery of patients which has high clinical application value.

关 键 词：卒中 老年人 老年综合评估 家庭赋权 舌三针 

分 类 号：R473.2[医药卫生—护理学]