脑卒中后吞咽障碍68例的康复护理

目的 探讨脑卒中后吞咽障碍康复护理的有效措施。方法 将139例卒中后吞咽障碍患者随机分成干预组68例和对照组71例,干预组进行去除和预防咽部残留食物的训练,并且在摄食—吞咽训练时进行9项检查。观察30d后康复效果及发生误咽性肺炎症状。结果 患者吞咽障碍得到不同程度改善,于预组优于对照组(P<0.01)。干预组无1例发生误咽性肺炎,对照组有5例发生误咽性肺炎。结论 摄食吞咽训练同时进行去除和预防咽部残留食物训练,可改善吞咽障碍和有效的预防误咽性肺炎的发生。

Nursing Intervention on 68 Post-stoke Dysphagia Patients

Objective To investigate the method of nursing intervention of aspiration pneumonia in post - stroke patients with swallowing dysfunction. Methods 139 patients were randomly divided into intervention group(68 patients) and control group(71 patients) , training of ingestion - swallow was administrated to against oropharyngeal residue after swallowing in intervention group and relative 9 items were examed. We evaluated the effects of training and incidence of aspiration pneumonia after 30 days. Results Swallowing dysfunction in all patients were more or less improved, the effects in intervention group were significantly better than control group(P <0.01 ). None of intervention group developed aspiration pneumonia and S patients developed in control group. Conclusion Training of ingestion - swallow and relative examination can obviously improve post-stroke dysphagia and effectively prevent incidence of aspiration pneumonia.