重症病毒性脑炎患儿吞咽障碍早期康复护理的效果评价

目的 探讨对有吞咽障碍的重症病毒性脑炎患儿实施早期康复护理的效果.方法 将44例存在吞咽障碍的重症病毒性脑炎患儿随机分为康复组和对照组各22例.对照组给予小儿神经内科常规护理治疗,康复组除给予常规护理治疗外,在成人吞咽障碍康复训练的基础上结合儿科特点,对患儿实施寓教于乐的吞咽功能康复训练.采用洼田饮水测试和才藤氏的吞咽障碍7级评定法为评定标准,对康复组和对照组患儿分别于康复训练前,康复训练后20d进行吞咽功能的评价.结果 康复训练后康复组与对照组吞咽功能经洼田饮水测试比较,差异有统计学意义(P<0.01).康复组吞咽功能训练前后经饮水测试比较,差异有统计学意义(P<0.01),康复组与对照组康复训练后吞咽障碍康复效果比较,差异有统计学意义(P<0.01),康复组并发症发生率低于对照组(P<0.01).结论 对重症病毒性脑炎吞咽障碍患儿进行早期吞咽功能康复训练,能改善吞咽功能,减少并发症发生,提高患儿的生活质量.

Effect of early rehabilitative nursing intervention for baby patients with serious viral encephalitis who had swallowing difficulty

Objective To explore the effect of early rehabilitative nursing intervention for baby patients with serious viral encephalitis who had swallowing difficulty. Method We divided 44 baby patients into the rehabilitation group and the control group. Routine nursing measures were given to the control group and additional rehabilitative exercises were given to the rehabilitation group based on the routine measures. We evaluated the swallowing functions in both groups before nursing intervention and 20 days after it by water-swallow test and swallowing dysfunction scale. Result Symptoms were better as evaluated by water-swallow test in the rehabilitation group after rehabilitative nursing intervention compared with that before intervention (P<0.01) and that in the control group (P<0.01). Swallowing dysfunction in the rehabilitation group was better than that in the control group (P<0.01). Conclusions To give early swallowing rehabilitative exercises for baby patients with serious viral encephalitis who had swallowing difficulty could improve their swallowing function and decrease complications so as to improve their life quality.