早期护理干预对伴有吞咽功能障碍的病毒性脑炎患儿康复的影响

目的探讨早期护理干预对伴有吞咽功能障碍的病毒性脑炎患儿康复的影响。方法将76例伴有吞咽功能障碍的病毒性脑炎患儿按随机数字表法分为对照组和观察组,每组38例。对照组实施常规治疗和护理,观察组在对照组治疗和护理的基础上对患儿进行早期吞咽功能训练。观察2组患儿护理干预3、6个月后,吞咽功能恢复情况和6个月内的吸入性肺炎发生情况。结果经治疗和护理干预3、6个月后,观察组总有效率分别为60.52%、94.74%,对照组总有效率分别为15.79%、28.94%,观察组明显高于对照组(均P<0.05)。观察组6个月内吸入性肺炎的发生率为15.79%,明显低于对照组的52.63%(P<0.05)。结论早期的吞咽功能训练和护理干预,可显著提高伴有吞咽功能障碍的病毒性脑炎患儿的吞咽功能,预防吸入性肺炎的发生。

Influence of Early Nursing Intervention on Recovery of Viral Encephalitis Children with Swallowing Dysfunction

Objective To investigate the influence of early nursing intervention on the recovery of viral encephalitis children with swallowing dysfunction.Methods Seventy-six viral encephalitis chil-dren with swallowing dysfunction were randomly divided into two groups,with 38 patients in each group. Patients in control group received conventional therapy and nursing. On this basis,patients in observation group received early swallowing functional training. The recovery of swallowing function was observed after treatment and nursing intervention for 3 and 6 months.The incidence of aspiration pneumonia was recorded within 6 months. Results After treatment and nursing intervention for 3 and 6 months,the total effective rates were,respectively, 60.52% and 94.74% in observation group, and 15.79% and 28.94% in control group.There were significant differences in the total effective rate between the two groups（all P〈0.05）. In addition,the incidence of aspiration pneumonia in observation group was significantly lower than that in control group（15.79%vs 52.63%,P〈0.05）.Conclusion Early swallowing function training and nursing intervention can significantly improve the swallowing function and prevent the occurrence of aspiration pneumonia in viral encephalitis children with swallowing dysfunction.