Observation on effect of rehabilitation training for stroke patients with dysphagia
-
摘要:目的 观察脑卒中吞咽困难患者康复训练的效果。方法 将90例脑卒中吞咽困难患者随机分为观察组和对照组各45例，对照组行常规护理，观察组在常规护理的基础上行系统性康复训练，成立系统康复训练小组，制定康复训练计划，实施康复训练措施，改进康复训练方法。2组患者护理干预后，根据洼田饮水试验对患者吞咽障碍恢复效果进行评价，采用吞咽功能量表(VFSS)评价患者吞咽功能，评价患者饮食分级。结果 观察组吞咽障碍恢复效果为91.11%, 高于对照组的71.11%(P < 0.05); 护理干预3、6个月后平均VFSS量表评分，观察组高于对照组(P < 0.05); 观察组患者可进食普通食物比例均高于对照组(P < 0.05)。结论 脑卒中吞咽困难患者予以系统康复训练对提高吞咽障碍恢复效果、改善吞咽功能、促进完成普通摄食具有重要的意义。Abstract:Objective To observe the effect of rehabilitation training for stroke patients with dysphagia.Methods A total of 90 stroke patients with dysphagia were randomly divided into observation group and control group, with 45 cases in each group. The control group received routine nursing, and the observation group received systematic rehabilitation training on the basis of routine nursing. After nursing intervention, recovery of swallowing disorders by water swallow test, swallowing function by swallowing function scale (VFSS), and the dietary grading of patients were evaluated.Results The effective rate of recovery of dysphagia was 91.11% in the observation group, which was higher than 71.11% in the control group (P < 0.05). The average VFSS scale scores after 3 and 6 months of nursing intervention was higher in the observation group than that in the control group (P < 0.05). The proportion of normal food intake in the observation group was higher than that that in the control group (P < 0.05).Conclusion Systematic rehabilitation training for stroke patients with dysphagia is of great significance in improving the recovery effect of dysphagia, enhancing the swallowing function and promoting the intake of normal feeding.
-
Keywords:
- cerebral apoplexy /
- dysphagia /
- rehabilitation training /
- swallowing function
-
-
表 1 2组患者吞咽障碍恢复效果比较[n(%)]
组别 治愈 有效 无效 总有效 对照组(n=45) 9(20.00) 23(51.11) 13(28.89) 32(71.11) 观察组(n=45) 20(44.44) 21(46.67) 4(8.89) 41(91.11)* 与对照组比较, *P < 0.05。 
下载: 导出CSV
表 2 2组患者护理干预前后吞咽功能VFSS量表评分比较(x±s)
分 组别 VFSS评分 干预前 干预3个月后 干预6个月后 对照组(n=45) 2.91±0.38 3.27±1.05* 4.78±1.12* 观察组(n=45) 2.83±0.36 5.11±1.20*# 7.86±1.67*# VFSS评分: 吞咽功能量表评分。与干预前比较, *P < 0.05; 与对照组比较, #P < 0.05。
下载: 导出CSV
表 3 2组患者饮食分级比较[n(%)]
组别 经口摄食不能完成 可进食糊状食物 可进食果冻状食物 可进食普通食物 对照组(n=45) 3(6.67) 40(88.89) 22(48.89) 10(22.22) 观察组(n=45) 0* 45(100.00)* 34(75.56)* 28(62.22)* 与对照组比较, *P < 0.05。
下载: 导出CSV
-
[1] 翁雪云, 李琳青, 陈丽丽. 脑卒中后吞咽障碍患者康复护理的临床应用效果研究[J]. 中国实用医药, 2019, 19(5): 156-157. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201905087.htm [2] 许乐. 吞咽训练联合饮食干预在脑卒中吞咽障碍患者中的应用效果观察[J]. 首都食品与医药, 2019, 26(3): 167-167. doi: 10.3969/j.issn.1005-8257.2019.03.150 [3] 王艳云. 集束化护理对脑卒中吞咽功能障碍患者康复效果及生存质量的影响研究分析[J]. 实用临床护理学电子杂志, 2019, 20(4): 125-125, 132. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL201904102.htm [4] 杨余华, 曹建, 周小燕. 针刺、理疗联合冰柠檬酸刺激对脑卒中后吞咽障碍病人康复效果的影响[J]. 护理研究, 2019, 24(3): 386-389. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201903005.htm [5] 姚晶晶. 吞咽障碍理疗仪配合冰刺激用于脑卒中后吞咽障碍康复治疗的效果观察[J]. 内蒙古医学杂志, 2018, 50(12): 1457-1458. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYZ201812021.htm [6] 王婷. 康复护理模式对脑卒中吞咽障碍患者的干预效果[J]. 当代护士: 下旬刊, 2019, 26(1): 131-133. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ201901060.htm [7] 褚澄, 张新江. 综合康复训练治疗脑卒中吞咽障碍的临床效果[J]. 临床医学研究与实践, 2019, 4(1): 30-32. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201901015.htm [8] 王云, 吴玉琴. 吞咽与摄食训练在脑卒中吞咽功能障碍患者中的应用[J]. 护理实践与研究, 2018, 15(24): 55-56. doi: 10.3969/j.issn.1672-9676.2018.24.021 [9] 周月秀, 李艳. 脑卒中患者吞咽功能障碍的综合护理干预研究[J]. 实用临床护理学电子杂志, 2018, 3(52): 143-144. doi: 10.3969/j.issn.2096-2479.2018.52.108 [10] 周芳, 肖府庭. 呼吸训练配合综合训练对脑卒中患者吞咽障碍和肺功能的影响[J]. 长江大学学报: 自科版, 2018, 15(24): 26-29. https://www.cnki.com.cn/Article/CJFDTOTAL-CJDL201824009.htm [11] Wang Z, Song W Q, Qu Y P, et al. Efficacy of integrated swallowing function rehabilitation training in patients with nasal feeding during acute ischemic stroke[J]. Chinese Journal of Cerebrovascular Diseases, 2014, 11(7): 342-346. http://www.researchgate.net/publication/287897653_Efficacy_of_integrated_swallowing_function_rehabilitation_training_in_patients_with_nasal_feeding_during_acute_ischemic_stroke
[12] 石文焕, 武巧芝. 针刺结合康复训练治疗急性脑梗死患者吞咽功能障碍的临床效果观察[J]. 临床合理用药杂志, 2019, 12(2): 96-97. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201902192.htm [13] 王爱萍, 周萍, 杨月萍. 老年吞咽功能障碍患者中应用吞咽功能康复训练的效果研究[J]. 中国医药指南, 2018, 16(36): 82-83. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201836065.htm
计量
- 文章访问数: 422
- HTML全文浏览量: 223
- PDF下载量: 10
苏公网安备 32100302010246号
