吞咽和摄食管理对改善脑外伤后吞咽障碍患者的效果分析  

Analysis of the effect of swallowing and feeding management on improving patients with dysphagia after traumatic brain injury

作　　者：颜媛媛 贾建华 孙印兰[1] Yan Yuanyuan;Jia Jianhua;Sun Yinlan(Department of Neurosurgery,Tengzhou Central People's Hospital,Tengzhou,Shandong,277500,China)

机构地区：[1]滕州市中心人民医院,山东滕州277500

出　　处：《中国医学文摘（耳鼻咽喉科学）》2023年第2期159-161,180,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的对吞咽和摄食管理对改善脑外伤后吞咽障碍患者的效果展开系统分析。方法利用EXCEL表统计遴选本院治疗的70例脑外伤后吞咽障碍患者作为研究目标,按照随机数字法分为对照组(n=35)、观察组(n=35),统计时间为2019年1月~2021年1月,对照组行传统护理干预,观察组在对照组的基础上行吞咽和摄食管理干预,研究两组患者的吞咽相关并发症发生率、GUSS评分、生活质量评分。结果护理前,两组患者的GUSS评分、生活质量评分无显著差异,P>0.05;护理后,观察组与对照组相比GUSS评分较低,生活质量评分较高,P<0.05;观察组(5.71%)与对照组(22.86%)相比吞咽相关并发症发生率较低,P<0.05。结论予以脑外伤后吞咽障碍患者行吞咽和摄食管理干预可有效降低吞咽相关并发症发生率,改善吞咽障碍及生活质量,值得临床进一步研究、借鉴。Objective To systematically analyze the effect of swallowing and feeding management on improving dysphagia in patients with post-traumatic brain injury.Methods Using EXCEL table statistics,70 patients with dysphagia after brain trauma treated in our hospital were selected as the research target,and divided into control group(n=35)and observation group(n=35)according to the random number method,the statistical time was 2019 From January to January 2021,the control group received traditional nursing intervention,and the observation group received swallowing and feeding management intervention on the basis of the control group.The incidence of swallowing-related complications,GUSS score,and quality of life score were studied in the two groups.Results Before nursing,there was no significant difference in GUSS score and quality of life score between the two groups,P>0.05;after nursing,the observation group had lower GUSS score and higher quality of life score compared with the control group,P<0.05;the observation group(5.71%)had a lower incidence of swallowing-related complications compared with the control group(22.86%),P<0.05.Conclusion Swallowing and feeding management intervention for patients with dysphagia after traumatic brain injury can effectively reduce the incidence of swallowing-related complications,improve dysphagia and quality of life,and it is worthy of further clinical research and reference.

关 键 词：吞咽 摄食管理 脑外伤后吞咽障碍 效果 

分 类 号：R47[医药卫生—护理学]