摘要
目的探讨吞咽训练对社区脑卒中吞咽障碍患者吞咽功能及康复预后的影响。方法选取2017年2月到2018年1月脑卒中吞咽障碍患者80例,根据干预方法的不同分成观察组50例与对照组30例。对照组给予常规康复护理及吞咽康复护理与指导,观察组在对照组康复的基础上给予规范的社区吞咽康复训练,观察时间为3个月。采用进食与呛咳情况评估吞咽功能、统计2组肺炎发生率、采用白蛋白与前白蛋白检测评估营养状况、采用Barthel评分评估日常生活活动能力。比较分析2组患者吞咽功能、肺炎发生率、营养状况、日常生活活动能力。结果观察组与对照组的吞咽康复总有效率分别为98.0%和73.3%,观察组显著高于对照组(P<0.05)。观察组与对照组的肺部感染率分别为0和13.3%,观察组显著低于对照组(P<0.05)。治疗后观察组与对照组的血清白蛋白与前白蛋白水平都显著高于康复前(P<0.05),且观察组显著高于对照组(P<0.05)。治疗后2组的Barthel评分都显著高于康复前[(54.32±9.24)分和(48.20±8.19)分vs(33.56±7.29)分和(33.10±8.15)分](P<0.05),且观察组显著高于对照组(P<0.05)。结论吞咽训练干预可改善社区脑卒中吞咽障碍患者吞咽功能,降低肺炎发生率,改善机体营养状态,提高患者日常生活能力,值得在社区推广应用。
Objective To investigate the effects of swallowing training on the swallowing function and rehabilitation prognosis of patients with cerebral stroke complicated by dysphagia in community.Methods Eighty patients with cerebral stroke complicated by dysphagia in community who were treated in community center from February 2017 to January 2018 were enrolled in the study,who were divided into observation group(n=50)and control group(n=30)according to different intervention methods.The patients in control group were treated by routine rehabilitation nursing and swallowing rehabilitation nursing and guidance,however,the patients in observation group,on the basis of control group,were given standardized community swallowing rehabilitation training,and the patients in both groups were observed for 3 months.The swallowing function was evaluated according to feeding and bucking situtation.The incidence of pneumonia was recorded,and the nutritional status was evaluated by the detection of albumin and prealbumin,and the activity of daily living was assessed by means of Barthel score.In addition the swallowing function,incidence of pneumonia,nutritional status,and the activities of daily living were observed and compared between the two groups.Results The total effective rate of swallowing rehabilitation in observation group was 98.0%,which was significantly higher than that(73.3%)in control group(P<0.05).The lung infection rate in observation group was 0,which was significantly lower than that(13.3%)in control group(P<0.05).After treatment the serum levels of albumin and prealbumin in both groups were significantly higher than those before treatment(P<0.05),moreover,which in observation group were significantly higher than those in control group(P<0.05).After treatment the Barthel scores in both groups were significantly higher than those before the treatment(P<0.05),moreover,which in observation group were significantly higher than those in control group(P<0.05).Conclusion The swallowing training intervention can improve the
作者
邓彬
陈艳
欧秀君
陶陶
DENG Bin;CHEN Yan;Ou Xiujun(Comprehensive Ward,The Second Affiliated Hospital of Guangzhou Medical University, Guangdong, Guangzhou 510280,China)
出处
《河北医药》
CAS
2020年第14期2219-2222,共4页
Hebei Medical Journal
关键词
脑卒中
吞咽障碍
社区康复
预后
cerebral stroke
dysphagia
community rehabilitation
prognosis
