摘要
目的探讨针对性护理对重症脑卒中伴吞咽困难患者的应用效果。方法选取我院神经内科收治的重症脑卒中伴吞咽障碍患者93例,按随机数表法设置研究组54例与对照组39例。对照组给予常规护理,研究组给予针对性护理。出入院时采集患者血样检测TG、Hcy、ANGⅡ水平,采用洼田饮水试验评估吞咽障碍等级。结果出院时,两组TG、Hcy、ANGⅡ水平均低于入院时,研究组均低于对照组(P<0.05),出院时,研究组吞咽功能障碍整体优于对照组(P<0.05)。结论针对性护理可有效降低脑卒中伴吞咽障碍患者微循环障碍发生风险,改善吞咽功能障碍程度。
Objective To study the application effect of targeted nursing on severe stroke patients with dysphagia.Methods A total of 93 severe stroke patients with dysphagia were randomly divided into study group(54 cases)and control group(39 cases),the control group was given routine nursing,the study group was given targeted nursing.At admission and discharge,blood samples were collected to detect the levels of TG,Hcy and angⅡ,and the grade of dysphagia was evaluated by water swallow test test.Results TG,Hcy and ANGⅡin the two groups at discharge were lower than those at admission;the those in the study group was lower than the control group(P<0.05);the overall swallowing dysfunction in the study group at dischargewas better than that in the control group(P<0.05).Conclusion The targeted nursing can effectively reduce the risk of microcirculation disorder in stroke patients with dysphagia,and improve the degree of swallowing dysfunction.
作者
胡雪妍
HU Xue-yan(Department of Neurosurgery,The First Hospital of China Medical University,Shenyang110001,China)
出处
《中国误诊学杂志》
CAS
2021年第3期254-256,共3页
Chinese Journal of Misdiagnostics
