摘要
目的探讨中医康复护理联合吞咽训练及摄食训练在脑卒中后吞咽障碍患者中的应用效果.方法选取该院2020年3月—2022年2月收治的88例脑卒中后吞咽障碍患者为研究对象,按随机抽样法分为对照组(n=44)和观察组(n=44).对照组采用吞咽训练及摄食训练,观察组在对照组基础上加用中医康复护理,均连续干预4周.于干预前、干预4周后,对两组患者进行吞咽障碍、吞咽功能及摄食能力评估,并统计两组患者并发症发生情况.结果干预4周后,观察组洼田饮水试验分级情况优于对照组,标准吞咽功能评定量表评分为(20.68±3.79)分,低于对照组的(26.96±4.64)分,功能性经口摄食量表评分为(5.22±0.54)分,高于对照组的(4.83±0.48)分,并发症发生率为2.27%,低于对照组的18.18%,组间差异有统计学意义(P<0.05).结论中医康复护理与吞咽训练及摄食训练联合应用于脑卒中后吞咽障碍患者中的临床效果显著,能显著提高患者的吞咽功能及摄食能力,降低其并发症发生率.
Objective To explore the application effect of traditional Chinese medicine rehabilitation nursing combined with swallowing training and feeding training in patients with dysphagia after stroke.Methods 88 patients with dysphagia after stroke who were treated in this hospital from March 2020 to February 2022 were selected as the research objects,and divided into a control group(n=44)and an observation group(n=44)according to random sampling method.The control group was given swallowing training and feeding training,while the observation group was given traditional Chinese medicine rehabilitation nursing on the basis of the control group.Both groups were given continuous intervention for 4 weeks.Before the intervention and 4 weeks after the intervention,the patients in the two groups were evaluated for swallowing disorder,swallowing function and feeding ability,and the incidence of complications in the two groups was counted.Results After 4 weeks of intervention,the grading of the Kubota water swallowing test in the observation group was better than that in the control group,the standardized swallowing assessment score was(20.68±3.79)points,which was lower than(26.96±4.64)points of the control group,the score of functional oral intake scale was(5.22±0.54)points,which was higher than(4.83±0.48)points of the control group,the complication rate was 2.27%,which was lower than 18.18%in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The clinical effect of traditional Chinese medicine rehabilitation nursing combined with swallowing training and feeding training in patients with dysphagia after stroke is remarkable,which can significantly improve the patients'swallowing function and feeding ability,and reduce the incidence of complications.
作者
孙艳
SUN Yan(Department of Encephalopathy Rehabilitation,Zaozhuang Hospital of Traditional Chinese Medicine,Zaozhuang Shandong,277000,China)
出处
《反射疗法与康复医学》
2022年第12期22-25,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
吞咽障碍
吞咽训练
摄食训练
中医康复护理
吞咽功能
Stroke
Dysphagia
Swallowing training
Feeding training
Rehabilitation of traditional Chinese medicine
Swallowing function
作者简介
孙艳(1973-),女,山东枣庄人,本科,副主任护师,研究方向:康复护理。
