摘要
目的观察卒中单元模式下对急性脑卒中后吞咽困难的治疗效果。方法洼田氏饮水试验评价在3级及以上的急性脑卒中患者共117例,其中普通病房61例,卒中单元病房56例。普通病房组按《中国脑血管病的防治指南》进行治疗及常规护理,卒中单元病房组患者在此基础上由专业治疗小组制定吞咽困难康复训练计划,进行早期康复训练。治疗前后评价吞咽困难改善情况、误吸性肺炎发生率及日常生活活动能力。结果卒中单元组疗效优于普通病房组(P<0.05),误吸性肺炎发生率低于普通病房组(P<0.05),治疗2周后卒中单元组患者巴氏指数增高,与普通病房组患者比较差异有统计学意义(P<O.05)。结论卒中单元综合治疗有利于卒中后吞咽困难的恢复,降低肺部感染发生率,提高日常生活活动能力。
Objective To observe the therapeutic efficacy in stroke unit applied to dysphagia after acute stroke. Methods A total of 117 cases of acute stroke patients, including 61 patients in general wards, 56 cases in stroke unit, evaluated at level 3 and above by Watian Drinking Experiment, were selected. Routine care and treatment were carried out for patients according to China Guidelines for Prevention and Treatment of Cerebrovascular Diseases, while in stroke unit, patients took part in a professional training program for rehabilitation of dysphagia in order to ameliorate early dysphagia improvement before and after treatment. The incidence of aspiration pneumonia and early prognosis were e- valuated. Results There was better therapeutic effect （P〈0.05）, lower incidence of aspiration pneumonia （P〈0.05） in the stroke unit group compared to the general ward group. Higher BI（Barthel Index,BI） was markedly observed in the stroke unit group after 2 weeks of treatment（P〈 0.05）. Conclusion The comprehensive treatment in stroke unit is advantageous to stroke patients with better recovery and lower incidence of lung infections and it enhances the ability in daily routines.
出处
《安徽医学》
2012年第6期661-663,共3页
Anhui Medical Journal
基金
安徽省教育厅自然基金项目(编号KJ2008B31ZC)
关键词
卒中单元
脑卒中
吞咽困难
Stroke unit
Cerebral infarction
Dysphagia
