摘要
目的:分析早期康复护理对老年脑梗死后吞咽障碍患者预后的影响。方法:选取2020年4月-2021年4月青岛市城阳区人民医院收治的老年脑梗死后吞咽障碍患者62例为研究对象,按照随机数字表法分为对照组与观察组,各31例。对照组行常规康复护理干预,观察组行早期康复护理干预。比较两组患者神经递质指标(去甲肾上腺素、多巴胺、5-羟色胺)、营养指标(白蛋白、血红蛋白、维生素D)、神经功能、生活质量及吞咽功能。结果:护理后,两组患者去甲肾上腺素、多巴胺、5-羟色胺水平均升高,观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组患者白蛋白、血红蛋白、维生素D水平均优于护理前,观察组优于对照组,差异有统计学意义(P<0.05);护理后,两组患者美国国立卫生研究院卒中量表(NIHSS)评分均降低,Brthel指数评分均升高,观察组NIHSS量表评分低于对照组,Brthel指数高于对照组,差异有统计学意义(P<0.05);观察组洼田饮水试验1级患者比例多于对照组,差异有统计学意义(P<0.05)。结论:老年脑梗死后吞咽障碍患者早期康复护理干预效果显著,可明显改善患者神经递质指标、营养指标、神经功能、生活质量及吞咽功能。
Objective:To analyze the influence of early rehabilitation nursing on prognosis of elderly patients with dysphagia after cerebral infarction.Methods:A total of 62 elderly patients with dysphagia after cerebral infarction treated in Chengyang District People's Hospital from April 2020 to April 2021 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,31 cases in each group.The control group received routine rehabilitation nursing intervention,and the observation group received early rehabilitation nursing intervention.Neurotransmitter indexes(norepinephrine,dopamine,5-hydroxytryptamine),nutritional indexes(albumin,hemoglobin,vitamin D),neurological function,quality of life and swallowing function were compared between the two groups.Results:After nursing,the levels of norepinephrine,dopamine and 5-hydroxytryptamine in two groups were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After nursing,the levels of albumin,hemoglobin and vitamin D in two groups were better than before nursing,and the observation group was better than the control group,the difference was statistically significant(P<0.05).After nursing,the National Institutes of Health Stroke Scale(NIHSS)score was decreased in both groups,and the Brthel index score was increased.The NIHSS scale score in the observation group was lower than that in the control group,and the Brthel index was higher than that in the control group,with statistical significance(P<0.05).The proportion of grade 1 patients in the water swallow test in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Early rehabilitation nursing intervention of elderly patients with dysphagia disorder after cerebral infarction has significant effects,which can significantly improve the neurotransmitter index,nutritional index,nerve function,quality of life and swallowing function of the patients.
作者
王琳琳
于暖暖
Wang Lin-lin;Yu Nuan-nuan(Department of Neurology,Chengyang District People's Hospital,Qingdao 266109,Shandong Province,China)
出处
《中外医药研究》
2022年第9期105-107,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
早期康复护理
老年
脑梗死
吞咽障碍
神经功能
Early rehabilitation nursing
Elderly
Cerebral infarction
Dysphagia
Function of nerves
