护理康复方案在机械通气患者获得性吞咽功能障碍中的应用效果  

Effect of nursing and rehabilitation program on acquired dysphagia in mechanical ventilation patients

作　　者：杜金磊 聂臣聪[1] 雷玲[1] 袁文洁[1] 吴小玲 巫玉莲 刘安忠 陈理 DU Jinlei;NIE Chencong;LEI Ling;YUAN Wenjie;WU Xiaoling;WU Yulian;LIU Anzhong;CHEN Li(Department of Intensive Care Medicine,the Fourth People′s Hospital of Zigong,Sichuan Province,Zigong643000,China;Department of Rehabilitation,the Fourth People′s Hospital of Zigong,Sichuan Province,Zigong643000,China)

机构地区：[1]四川省自贡市第四人民医院重症医学科,四川自贡643000 [2]四川省自贡市第四人民医院康复科,四川自贡643000

出　　处：《中国当代医药》2022年第9期171-175,共5页China Modern Medicine

基　　金：四川省自贡市重点研发项目(2019YLSF28);四川省自贡市卫生健康科研课题(21zd010)。

摘　　要：目的探讨护理康复方案在机械通气患者获得性吞咽功能障碍中的应用效果。方法选取2021年6月至8月自贡市第四人民医院接受机械通气治疗的60例患者作为研究对象,按照随机数字表法分为对照组和观察组,每组各30例。对照组患者采用常规护理,观察组患者在对照组的基础上采用护理康复方案进行系统管理。比较两组患者护理前、护理后第3、7天的洼田氏饮水试验评估结果、吞咽障碍7级评估结果以及表面肌电图评估结果。结果两组患者护理前洼田氏饮水试验评估结果、吞咽障碍7级评估结果以及表面肌电图评估结果比较,差异无统计学意义(P>0.05)。护理第3、7天观察组患者洼田氏饮水试验评估结果、吞咽障碍7级评估结果以及表面肌电图评估结果均优于对照组患者,差异有统计学意义(P<0.05)。对照组护理第7天洼田氏饮水试验评估结果、吞咽障碍7级评估结果均优于护理前,差异有统计学意义(P<0.05)。观察组护理第3、7天洼田氏饮水试验评估结果、吞咽障碍7级评估结果均优于护理前,差异有统计学意义(P<0.05)。结论护理康复方案可有效促进机械通气患者获得性吞咽功能障碍的症状恢复。Objective To explore the effect of nursing and rehabilitation program in mechanical ventilation patients with acquired dysphagia.Methods A total of 60 patients who received mechanical ventilation treatment from June to August 2021 were selected as the research objects,and randomly divided into the control group and the observation group by random number table method,with 30 patients in each group.The control group was mainly treated with conventional nursing intervention,and the observation group was systematically managed by nursing rehabilitation program on the basis of the control group.The Watian′s drinking water test,swallowing disorders grade 7 evaluation results and surface electromyography evaluation results were compared between the two groups of patients before nursing,3 and 7 days after nursing.Results There were no statistically significant differences between the two groups in the evaluation results of Watian′s drinking water test assessment results,swallowing dysfunction magnitude 7 assessment results and methods of electrical diagram evaluation results before nursing(P>0.05).The Watian′s drinking water test evaluation results,swallowing disorder in patients with magnitude 7 assessment results and methods of electric diagram assessment results in the observation group were better than those in the control group 3 and 7 days after nursing,the differences were statistically significant(P<0.05).The Watian′s drinking water test assessment results,swallowing dysfunction magnitude 7 assessment results in the control group 7 days after nursing were better than those before nursing,and the differences were statistically significant(P<0.05).The Watian′s drinking water test assessment results,swallowing dysfunction magnitude 7 assessment results in the observation group 3 and 7 days after were better than those before nursing,the differences were There was statistically significance(P<0.05).Conclusion Nursing rehabilitation program can effectively promote the recovery of symptoms of acquired dysphag

关 键 词：护理康复 机械通气 吞咽功能障碍 症状恢复 

分 类 号：R473[医药卫生—护理学]