K点刺激联合吞咽-摄食管理在颅脑外伤术后吞咽障碍患者中的应用研究  

Application of K-point Stimulation Combined with Swallowing-feeding Management in Patients with Dysphagia after Craniocerebral Trauma Surgery

作　　者：盘丽华[1] 张传东[1] 仇洪[1] 韦叙[1] 潘东妮 韦萍 PAN Lihua;ZHANG Chuandong;CHOU Hong;WEI Xu;PAN Dongni;WEI Ping(Department of Neurosurgery,Hechi People’s Hospital,Hechi 547000,Guangxi Province,China)

机构地区：[1]广西河池市人民医院神经外科,广西河池547000

出　　处：《解放军护理杂志》2022年第1期34-37,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190500)。

摘　　要：目的探讨K点刺激联合吞咽-摄食管理在颅脑外伤术后吞咽障碍患者中的应用效果。方法2019年7月至2021年6月,便利抽样法选取河池市某三甲医院神经外科住院的200例颅脑外伤术后吞咽障碍患者为研究对象,按时间段分为对照组和观察组各100例。对照组患者采用颅脑损伤吞咽障碍康复护理常规管理;观察组在对照组基础上实施K点刺激联合吞咽-摄食管理。比较干预前后两组患者吞咽障碍分级评分、鼻饲管留置天数、干预后疗效。结果干预后,对照组和观察组吞咽障碍分级量表评分分别为(5.74±0.66)分、(7.19±0.82)分,均高于干预前,且观察组评分高于对照组,两组比较差异有统计学意义(P<0.001);观察组鼻饲管留置天数短于对照组,总有效率高于对照组,差异均有统计学意义(均P<0.001)。结论对颅脑外伤术后吞咽障碍患者实施K点刺激联合吞咽-摄食管理,可明显改善患者的吞咽功能,缩短鼻饲管留置时间,提高疗效,建议临床进一步推广使用。Objective To investigate the effect of K-point stimulation combined with swallowing-feeding management in patients with dysphagia after craniocerebral trauma surgery.Methods From July 2019 to June 2021,200 patients with dysphagia after craniocerebral trauma surgery in a tertiary hospital in Hechi were selected by convenience sampling method and divided into the control group and experimental group with 100 cases each.The patients in the control group were managed by the rehabilitation care routine of craniocerebral injury swallowing disorder;the experimental group implemented K-point stimulation combined with swallowing-feeding management on the basis of the control group.The classification score of dysphagia,the days of nasal feeding tube retention and the efficacy after intervention were compared between the two groups before and after intervention.Results After the intervention,the scores of dysphagia rating scale in the control group and the experimental group were(5.74±0.66)and(7.19±0.82)respectively,which were higher than those before the intervention,and the experimental group was higher than that in the control group,the difference between the two groups was statistically significant(P<0.001).The retention days of nasal feeding tube in the experimental group were shorter than those in the control group,and the total effective rate was significantly higher than that in the control group(all P<0.001).Conclusions K-point stimulation combined with swallowing-feeding management in patients with dysphagia after craniocerebral trauma surgery can significantly improve the swallowing function of patients,shorten the retention time of nasal tube feeding and improve the efficacy,and it is recommended to further promote.

关 键 词：K点刺激 吞咽-摄食管理 颅脑外伤术后 吞咽障碍 

分 类 号：R473.6[医药卫生—护理学]