吞咽训练联合氧气驱动雾化对颈椎前路减压椎间融合术患者吞咽功能、生命质量及咽部症状的影响  

Effects of swallowing training combined with oxygen-driven atomization on swallowing function,quality of life and pharyngeal symptoms in patients undergoing anterior cervical decompression and interbody fusion

作　　者：曹倩倩 赵丹[1] 谢静[1] Cao Qian-qian;Zhao Dan;Xie Jing(Department of the 3rd Orthopedics,Huiji District,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院惠济区骨科(3),河南郑州450000

出　　处：《四川生理科学杂志》2021年第5期756-758,751,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:探究吞咽训练联合氧气驱动雾化对颈椎前路减压椎间融合术(Anterior cervical discectomy and fusion,ACDF)患者吞咽功能、生命质量及咽部症状的影响。方法:选取2019年9月至2020年9月在我科治疗的ACDF患者99例,对照组49例给予医院常规护理及健康教育联合氧气驱动雾化,观察组50例在此基础上给予吞咽训练;观察两组患者的吞咽困难发生率及吞咽功能,生命质量,咽部症状,不良反应。结果:治疗后,对照组吞咽困难发生率、洼田饮水实验得分、咽部症状咽喉部粘膜反应评分、呼吸道症状视觉模拟评分(Visual analogue scales,VAS)高于观察组(P<0.05);生命质量水平均低于观察组(P<0.05);不良反应差异无统计学意义。结论:氧气驱动雾化联合吞咽训练护理术后ACDF可有效增强患者吞咽功能,降低吞咽困难发生率,提高生命质量,改善咽部症状,安全性较高。Objective:To explore the effects of swallowing training combined with oxygen-driven atomization on swallowing function,quality of life and pharyngeal symptoms in patients undergoing anterior cervical discectomy and fusion(ACDF).Methods:A total of 99 patients undergoingACDF who were treated in our department from September 2019 to September 2020 were selected.The 49 patients in the control group were treated with hospital routine care,health education and oxygen-driven nebulization.On the basis,the 50 patients in the observation group were treated with swallowing trainin addionally.The incidence of dysphagia,swallowing function,quality of life,pharyngeal symptoms,and adverse reactions of the two groups of patients were observed.Results:After treatment,the control group had higher incidence of dysphagia,the scores of Watian drinking test,pharynx symptom,throat mucosal reaction score,and VAS scores than the observation group(P<0.05);the quality of life in control group was lower than that in the observation group(P<0.05);There was no statistical difference in adverse reactions during the two groups.Conclusion:After ACDF,oxygen-driven nebulization combined with swallowing training nursing care can effectively and safely enhance the swallowing function of patients,reduce the incidence of dysphagia,improve the quality of life,and treat the pharyngeal symptoms.

关 键 词：吞咽训练 雾化 生命质量 咽部症状 

分 类 号：R47[医药卫生—护理学]