标准摄食锻炼方案对脑卒中吞咽障碍患者的临床价值
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摘要
目的探析标准摄食锻炼方案对脑卒中吞咽障碍患者的临床价值。方法选取该院在2016年3月—2017年3月期间收治的100例脑卒中吞咽障碍患者,随机分为对照组50例和观察组50例,其中对照组行常规治疗,观察组在对照组的基础上实施标准摄食锻炼方案,比较两组患者干预前后的吞咽功能评级、吸入性肺炎发生几率、饮食管理满意度、临床治疗有效率。结果干预前,两组患者的吞咽功能评级比较,差异无统计学意义(Z=-0.244,P>0.05);干预后,观察组患者吞咽功能评级明显优于对照组,差异有统计学意义(Z=-2.372,P<0.05);观察组患者吸入性肺炎发生几率4.0%显著低于对照组26.0%,差异有统计学意义(χ~2=14.648,P<0.05);对照组饮食管理满意率56.0%、临床治疗有效率46.0%明显低于观察组92.0%、86.0%,差异有统计学意义(χ~2=12.305,10.268,P<0.05)。结论标准摄食锻炼方案对脑卒中吞咽障碍患者的临床价值较高,改善患者临床症状,值得临床推广。
Objective To study the clinical value of standard ingestion exercise program in patients with dysphagia after stroke. Methods 100 cases of patients with dysphagia after stroke admitted and treated in our hospital from March2016 to March 2017 were selected and randomly divided into two groups with 50 cases in each, the control group used the routine treatment, while the observation group used the standardized ingestion exercise program on the basis of the control group, and the swallowing function rating, occurrence probability of aspiration pneumonia, dieting management satisfactory degree and clinical treatment effective rate were compared before and after intervention. Results Before intervention, there was no obvious difference in the swallowing function rating between the two groups(Z =-0.244,P >0.05); after intervention, the swallowing function rating in the observation group was obviously better than that in the control group, and the difference was obvious(Z=-2.372,P<0.05), and the occurrence probability of aspiration pneumonia in the observation group was obviously lower than that in the control group(4.0% vs 26.0%), and the difference was obvious(χ~2=14.648, P<0.05); and the satisfactory rate of dieting management and clinical treatment effective rate in the control group were obviously lower than those in the observation group(56.0%, 46.0% vs 92.0%, 86.0%), and the differences were obvious(χ~2=12.305, 10.268, P<0.05). Conclusion The clinical value of standard ingestion exercise program in patients with dysphagia after stroke is higher, which can improve the clinical symptoms, and it is worth clinical promotion.
Objective To study the clinical value of standard ingestion exercise program in patients with dysphagia after stroke. Methods 100 cases of patients with dysphagia after stroke admitted and treated in our hospital from March2016 to March 2017 were selected and randomly divided into two groups with 50 cases in each, the control group used the routine treatment, while the observation group used the standardized ingestion exercise program on the basis of the control group, and the swallowing function rating, occurrence probability of aspiration pneumonia, dieting management satisfactory degree and clinical treatment effective rate were compared before and after intervention. Results Before intervention, there was no obvious difference in the swallowing function rating between the two groups(Z =-0.244,P >0.05); after intervention, the swallowing function rating in the observation group was obviously better than that in the control group, and the difference was obvious(Z=-2.372,P<0.05), and the occurrence probability of aspiration pneumonia in the observation group was obviously lower than that in the control group(4.0% vs 26.0%), and the difference was obvious(χ~2=14.648, P<0.05); and the satisfactory rate of dieting management and clinical treatment effective rate in the control group were obviously lower than those in the observation group(56.0%, 46.0% vs 92.0%, 86.0%), and the differences were obvious(χ~2=12.305, 10.268, P<0.05). Conclusion The clinical value of standard ingestion exercise program in patients with dysphagia after stroke is higher, which can improve the clinical symptoms, and it is worth clinical promotion.
引文
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[2]杨冬梅.脑卒中患者吞咽障碍的康复护理[J].当代护士,2017(3中旬刊):7-10.
[3]彭银英,朱乐英,叶日春.标准摄食锻炼方案在脑卒中吞咽障碍患者中的运用效果[J].临床与病理杂志,2017,37(3):467-472.
[4]陈述,于庆,杨雪,董静.脑卒中吞咽障碍的康复结局影响因素研究[J].中国卫生标准管理,2017,8(16):23-24.
[5]卢琼.吞咽障碍治疗仪及护理对脑卒中患者吞咽障碍恢复的影响[J].医疗装备,2017,30(17):149-150.
[6]陈诗玲.针刺治疗中风后假性球麻痹患者吞咽困难随机临床研究[D].南京:南京中医药大学,2017.
[7]孟德娥,宋文.脑卒中吞咽障碍患者的早期康复护理[J].中国现代医生,2016,54(13):150-152.
[8]郑瑞芳,王福华.急性脑卒中后吞咽障碍的康复护理分析[J].中国医药指南,2016,14(23):231-232.