脑卒中吞咽障碍患者的中医康复护理

Rehabilitation nursing of traditional Chinese medicine in patients with dysphagia after stroke

  • 摘要: 目的 探讨脑卒中吞咽障碍患者护理中采用中医康复护理的临床效果及应用价值。 方法 选择本院接受治疗的脑卒中吞咽障碍患者72例为研究对象,随机分为研究组和对照组,各36例。研究组实施中医康复护理,对照组采用常规护理。观察并比较2组护理效果。 结果 研究组护理有效率、生活质量评分、吞咽能力评分均显著高于对照组(P<0.05); 研究组吸入性肺炎、窒息、营养不良、水电解质紊乱等并发症发生率均显著低于对照组(P<0.05); 护理前, 2组饮水试验功能评级、反复唾液吞咽试验次数比较无显著差异(P>0.05); 干预后,研究组饮水试验功能评级显著低于对照组(P<0.05), 反复唾液吞咽试验次数显著多于对照组(P<0.05)。 结论 中医康复护理干预应用于脑卒中患者康复中,可以减少并发症的发生,提升患者生活质量,改善吞咽功能。

     

    Abstract: Objective To explore clinical effect of rehabilitation nursing of traditional Chinese medicine in stroke patients with dysphagia and its application value. Methods A total of 72 stroke patients with dysphagia who were treated in our hospital were selected as study objects, and were randomly divided into study group and control group, given rehabilitation nursing of traditional Chinese medicine and routine nursing, respectively. The nursing effects of the two groups were observed and compared. Results The nursing efficacy, quality of life score and swallowing ability score in the study group were significantly higher than those in the control group(P<0.05); the incidence of complications such as aspiration pneumonia, asphyxia, malnutrition, water electrolyte disorder in the study group were significantly lower than that of the control group(P<0.05); there were no significant differences in the functional rating of drinking water test and the times of repeated saliva swallowing test between the two groups before nursing(P>0.05). After nursing intervention, the function rating of drinking water test in the study group was significantly lower, and the number of repeated saliva swallowing test was significantly more than that in the control group(P<0.05). Conclusion Rehabilitation nursing intervention of traditional Chinese medicine for stroke patients can reduce the incidence of related complications, improve the quality of life, and enhance their swallowing function.

     

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