脑卒中后并发吞咽障碍的护理干预

目的探讨护理干预对脑卒中后吞咽障碍的影响。方法将126例脑卒中后并发吞咽障碍的患者随机分为干预组和对照组各63例。对照组均给予药物治疗及常规护理,干预组在此基础上给予心理干预、进食调节及吞咽功能训练等指导。4周后采用洼田饮水试验进行吞咽功能评定及疗效判定。结果干预组的治愈率和总有效率为60.3%、93.7%显著高于对照组的38.1%、61.9%,差异有统计学意义（P〈0.05,P〈0.01）。结论护理干预可明显改善脑卒中患者的吞咽功能,提高患者生活质量。

Nursing intervention of dysphagia after stroke

Objective To explore the influence of nursing intervention on dysphagia after stroke. Methods 126 cases of stroke patients with dysphagia were divided randomly into intervention group and control group with each group of 63 cases. Both groups were given with drugs and conventional nursing,moreover,the intervention group received guide of mental intervention,eating regulation and swallowing function training. Toshio＇s drinking test was performed on both groups to evaluate swallowing function and clinical effects after four weeks. Results The cure rate and total effective rate in intervention group were significantly higher than the control（ 60. 3% vs 38. 1%,93. 65% vs 61. 91%,respectively）,the differences were statistically significant（ P〈0. 05,P〈0. 01）. Conclusion Nursing intervention can obviously improve the swallowing function and the quality of life of stroke patients with dysphagia.