摘要
目的:探究综合康复护理在脑卒中伴吞咽障碍患者中的应用效果。方法:选取2022年6月—2024年6月滨州市中心医院接诊的脑卒中伴吞咽障碍患者80例进行研究,以抽签法随机分成两组,各40例。对照组予以常规护理,研究组采用综合康复护理。比较两组营养指标、免疫学指标、并发症发生率、吞咽功能。结果:干预前,两组前白蛋白、血红蛋白、白蛋白水平比较,差异无统计学意义(P>0.05);干预后,两组前白蛋白、血红蛋白、白蛋白水平提高,且研究组比对照组高(P<0.05)。干预前,两组CD4^(+)、CD8^(+)、CD4^(+)/CD8^(+)水平比较,差异无统计学意义(P>0.05);干预后,两组CD4^(+)、CD4^(+)/CD8^(+)水平提高,CD8^(+)水平下降,且研究组CD4^(+)、CD4^(+)/CD8^(+)水平比对照组高,CD8^(+)水平比对照组低(P<0.05)。研究组并发症总发生率比对照组低(P<0.05)。研究组吞咽功能优于对照组(P<0.05)。结论:综合康复护理在脑卒中伴吞咽障碍患者中的应用效果显著,能够改善患者营养状态、免疫学指标、吞咽功能,减少并发症发生风险。
Objective:To explore the application effects of comprehensive rehabilitation nursing in stroke patients with swallowing disorders.Methods:Eighty stroke patients with swallowing disorders admitted to Binzhou Central Hospital from June 2022 to June 2024 were selected for study.They were randomly divided into two groups using a lottery method,with 40 cases in each group.The control group received routine nursing and the study group received comprehensive rehabilitation nursing.The nutritional indicators,immunological indicators,incidence of complications and swallowing function of the two groups were compared.Results:Before intervention,there was no statistically significant difference in the levels of prealbumin,hemoglobin and albumin between the two groups(P>0.05).After intervention,the levels of prealbumin,hemoglobin and albumin in the two groups increased and the levels in the study group were higher than those in the control group(P<0.05).Before intervention,there was no statistically significant difference in the levels of CD4^(+),CD8^(+)and CD4^(+)/CD8^(+)between the two groups(P>0.05).After intervention,the levels of CD4^(+)and CD4^(+)/CD8^(+)increased and the levels of CD8^(+)decreased in the two groups,the levels of CD4^(+)and CD4^(+)/CD8^(+)in the study group were higher than those in the control group,and the levels of CD8^(+)in the study group were lower than those in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).The swallowing function in the study group was better than that in the control group(P<0.05).Conclusion:The application effect of comprehensive rehabilitation nursing in stroke patients with swallowing disorders is remarkable,which can improve the nutritional status,immunological indicators and swallowing function of patients,and reduce the risk of complications.
作者
王倩
周东清
Wang Qian;Zhou Dongqing(Third Department of Neurology,Binzhou Central Hospital,Binzhou 251700,Shandong Province,China)
出处
《中国社区医师》
2025年第6期129-131,共3页
Chinese Community Doctors
关键词
综合康复护理
脑卒中
吞咽障碍
Comprehensive rehabilitation nursing
Stroke
Swallowing disorders
