综合护理干预对脑卒中后吞咽障碍患者吞咽功能及预后的影响

目的：探讨综合护理干预措施对脑卒中后吞咽障碍患者吞咽功能和预后影响。方法选取我院神经内科2011年3月至2012年5月收治的80例脑卒中患者作为研究对象，分为观察组和对照组各40例，观察组采用综合护理干预措施，对照组采用常规护理措施，比较两组患者的护理效果。结果观察组患者的吞咽功能恢复的总有效率为85％，明显高于对照组，差异有统计学意义（ P＜0.05），观察组患者吸入性肺炎和营养不良的发生率分别为30.0％、15.0％，而对照组患者分别为57.5％、35.0％，观察组均明显低于对照组，差异有统计学意义（ P＜0.05）。结论综合护理干预有利于促进脑卒中患者吞咽功能障碍的恢复和重建，较大程度上改善患者的生活质量，值得临床推广和应用。

The effect of comprehensive nursing on swallowing function and prognosis of stroke patients with dysphasia

Objective To investigate the effect of comprehensive nursing on swallowing function and prognosis of stroke patients with dysphasia.Methods Eighty cases of stroke patients with dysphasia were divided into two groups , including the observation group of 40 patients with comprehensive care interventions , while the control group of 40 patients with routine care measures.Results After treatment, the total effective functional recovery in the observation group was 85%.It was significantly higher than that in the control group , and the difference between groups was statistically significant （χ2 =4.267 , P=0.038〈0.05 ） .Follow-up results showed in the observation group the rates of aspiration pneumonia and malnutrition were 30.0%and 15.0%, while the control group of those were respectively 57.5% and 35.0%, and the difference between groups was statistically significant （ P〈0.05 ） .Conclusions Comprehensive nursing on swallowing function and prognosis of stroke patients with dysphasia can improve the patient ＇s quality of life , and it is worthy of promotion and application.