摘要
目的:探讨吞咽功能训练联合常规治疗对颅脑损伤气管切开患者肺部感染和预后的影响。方法:选取本院2016年4月-2019年4月62例颅脑损伤气管切开患者,按照随机数字表法分为对照组与研究组,各31例。对照组予以常规治疗,研究组予以吞咽功能训练联合常规治疗。比较两组吞咽功能、肺部感染情况、住院情况及生活质量。结果:干预前两组吞咽功能优良率比较,差异无统计学意义(P>0.05)。干预后,研究组吞咽功能优良率高于干预前及对照组(P<0.05)。对照组干预前后吞咽功能优良率比较,差异无统计学意义(P>0.05)。研究组肺部感染发生率低于对照组(P<0.05)。研究组带管时间与住院时间均短于对照组,且抗生素费用明显低于对照组(P<0.05)。干预前,两组各项生活质量评分比较,差异均无统计学意义(P>0.05),干预后,两组各项生活质量评分均高于干预前,且研究组各项生活质量评分均高于对照组(P<0.05)。结论:颅脑损伤气管切开患者采取吞咽功能训练联合常规治疗可有效改善吞咽功能,降低肺部感染发生率,缩短住院时间,改善预后,提高患者生活质量。
Objective: To explore the effect of swallowing function training combined with routine treatment on lung infection and prognosis in patients with craniocerebral injury undergoing tracheotomy. Method: A total of 62 patients with craniocerebral injury undergoing tracheotomy in our hospital from April 2016 to April 2019 were selected. According to the random number table method, they were divided into control group and study group, 31 cases in each group. The control group were treated with routine treatment. The study group was treated with swallowing function training combined with routine treatment. Swallowing function, pulmonary infection, hospitalization status and quality of life were compared between the two groups. Result: Before intervention, there was no significant difference in the rate of good swallowing function between the two groups(P>0.05). After intervention, the rate of good swallowing function in the study group were higher than before intervention and those in the control group(P<0.05). There was no significant difference in the rate of good swallowing function before and after intervention in the control group(P>0.05). The incidence of pulmonary infection in the study group was lower than that in the control group(P<0.05). The duration of catheter and hospital stay in the study group were lower than those in the control group, and the cost of antibiotics in the study group was significantly lower than that in the control group(P<0.05). There were no significant differences in all quality of life scores between the two groups before intervention(P>0.05). All quality of life scores of the two groups after intervention were significantly higher than those before intervention. All quality of life scores of the study group were higher than those of the control group(P<0.05). Conclusion: Swallowing function training combined with routine treatment can effectively improve swallowing function, reduce the incidence of pulmonary infection, shorten hospitalization time, improve prognosis and quality of life in patients with craniocerebral injury undergoing tracheotomy.
作者
李素芬
凌琳
吉欣欣
周土地
苏娜
LI Sufen;LING Lin;JI Xinxin;ZHOU Tudi;SU Na(Fifth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510700,China)
出处
《中国医学创新》
CAS
2019年第34期36-40,共5页
Medical Innovation of China
关键词
颅脑损伤
气管切开
吞咽功能
肺部感染
Craniocerebral injury
Tracheotomy
Swallowing function
Pulmonary infection
作者简介
通信作者:李素芬。
