早期介入冰刺激联合吞咽功能分级护理在脑梗死后吞咽障碍患者中的应用  

Application of Early Intervention Ice Stimulation and Swallowing Function Grading Nursing in Patients with Swallowing Disorders after Cerebral Infarction

作　　者：于秀秀 司丽霞 刘敏 YU Xiu-xiu;SI Li-xia;LIU Min(First Department of Neurology,the Third People's Hospital of Liaocheng City,Liaocheng Shandong,252000,China;Second Department of Neurology,the Third People's Hospital of Liaocheng City,Liaocheng Shandong,252000,China)

机构地区：[1]聊城市第三人民医院神经一科,山东聊城252000 [2]聊城市第三人民医院神经二科,山东聊城252000

出　　处：《中华养生保健》2025年第3期15-18,共4页CHINESE HEALTH CARE

摘　　要：目的探讨脑梗死(Cerebral Infarction,CI)后吞咽障碍患者采用早期介入冰刺激联合吞咽功能分级护理的应用效果。方法选取2022年7月—2023年12月聊城市第三人民医院收治的120例CI后吞咽障碍患者,以随机数表法分成干预组(n=60)与对照组(n=60),对照组给予常规康复护理,干预组在对照组基础上给予早期介入冰刺激联合吞咽功能分级护理,比较两组吞咽功能、生活质量、并发症。结果干预前,两组标准吞咽功能评价量表(SSA)评分比较,差异无统计学意义(P>0.05),干预后,两组评分低于干预前,干预组评分低于对照组,差异有统计学意义(P<0.05);干预前,两组吞咽功能障碍特异性生活质量(SWAL-QOL)评分比较,差异无统计学意义(P>0.05),干预后,两组评分高于干预前,干预组评分高于对照组,差异有统计学意义(P<0.05);干预组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论早期介入冰刺激联合吞咽功能分级护理应用于CI后吞咽障碍患者中,能够提高吞咽功能及生活质量,减少并发症发生。Objective To explore the application effect of early intervention ice stimulation and graded swallowing function nursing in patients with swallowing disorders after cerebral infarction(CI).Methods A total of 120 patients with CI dysphagia from July 2022 to December 2023 who were admitted in the Third People's Hospital of Liaocheng City were selected,and randomly divided into the intervention group(n=60,routine rehabilitation nursing)and the control group(n=60,early intervention ice stimulation combined with swallowing function grading nursing on the basis of the control group).The swallowing function,quality of life,and complications in both groups were compared.Results Before intervention,there was no statistically signifi cant difference in the standard swallowing function assessment scale(SSA)scores in both groups(P>0.05).After intervention,the scores of in both groups were lower than before intervention,in comparison of the control group,the intervention group was lower,and the difference was statistically signifi cant(P<0.05).Before intervention,there was no statistically signifi cant difference in the swallowing dysfunction specifi c quality of life(SWAL-QOL)scores in both groups(P>0.05).After intervention,the scores of in both groups were higher than before intervention,in comparison of the control group,the intervention group was higher,and the difference was statistically signifi cant(P<0.05).In the incidence of complications,in comparison of the control group 16.67%(10/60),the intervention group was 3.33%(2/60)was lower,and the difference was statistically signifi cant(P<0.05).Conclusion Early intervention ice stimulation and graded swallowing function nursing can improve swallowing function and quality of life in patients with CI disorders,and reduce the occurrence of complications.

关 键 词：早期介入冰刺激 吞咽功能分级护理 脑梗死 吞咽障碍 

分 类 号：R473.74[医药卫生—护理学]