脑卒中后吞咽困难患者中医护理方案效果研究

目的探讨有效的中医护理方案对脑卒中后吞咽困难患者吞咽功能恢复的临床效果,为临床提供研究依据。方法选取2012年12月至2013年12月在该院脑病科治疗的120例脑卒中患者,并随机分为观察组和对照组,各60例。对照组患者给予脑病科常规护理,观察组患者在对照组基础上实施中医护理方案,以吞咽困难严重程度分级变化进行疗效评价,并调查患者护理满意度。结果观察组患者吞咽功能明显改善,总有效率[93.3%（56/60）]明显高于对照组[53.3%（32/60）],且患者护理满意度[93.3%（56/60）]优于对照组[68.3%（41/60）],差异均有统计学意义（P〈0.05）。结论中医护理方案实施能改善脑卒中患者的吞咽功能,提高其生活质量,是一套非常有效的护理方案。

Study on the effect of traditional Chinese medicine nursing for stroke patients with dysphagia

Objective To explore the clinic effect of the traditional Chinese medicine nursing on stroke patients with swallowing function recovery,and then provide research basis on clinic. Methods Total 120 stroke patients with dysphagia in this hospital from December 2012 to December 2013 were selected and randomly divided into the observation group and the control group, 60 of each group. The control group was given routine nursing in the department of eneephalopathy, while the observation group was added traditional Chinese medicine nursing based on the control group. The therapeutic effect was evaluated with dysphagia degree, and the nursing satification degree was surveyed. Results The swallowing function of the patients in the ob- servation group was improved obviously,whose overall response rate [93.3% （56/60）] is higher than that [53.3% （32/60）] of the control group, and its nursing satisfaction degree[93.3% （56/60）] is superior that of the control group[68.3% （41/60）]. The differences had statistical significance （P〈0.05）. Conclusion The implementation of traditional Chinese medicine nursing may improve the swallowing function of the stroke patients with dysphagia, enhance their quality of life, which is an effective nursing program.