摘要
目的:探究中医护理结合康复训练对脑卒中后吞咽困难患者的影响。方法:将110例脑卒中后吞咽困难患者,按随机数字表法分为2组,对照组55例采用中医护理,观察组55例采用中医护理结合康复训练。对比2组治疗前后实验室各项指标、脑卒中后电视透视吞咽功能检查(VFSS)评分、吞咽障碍特异性生活质量量表(SWAL-QOL)评分、吞咽功能评价量表(SSA)评分、吞咽功能的变化情况。结果:经过护理,2组血脂指标较前改善(P<0.05)。观察组护理后高密度脂蛋白(HDL)较对照组升高,而低密度脂蛋白(LDL)、甘油三酯(TG)、总胆固醇(TC)低于对照组,差异有统计学意义(P<0.05)。护理后,2组VFSS评分、SWAL-QOL评分、SSA评分较前改善(P<0.05);观察组护理后VFSS评分较对照组升高,SWAL-QOL评分、SSA评分低于对照组,差异有统计学意义(P<0.05)。观察组护理后患者吞咽功能总有效率为96.36%,对照组为76.36%,2组比较,差异有统计学意义(P<0.05)。结论:中医护理结合康复训练使脑卒中后吞咽困难患者临床症状得到控制,有效改善患者的吞咽功能。
Objective:To discuss the effect of Chinese medicine nursing combined with rehabilitation training for patients with dysphagia after stroke. Methods: A total of 110 cases of patients with dysphagia after stroke were divided into two groups according to the random number table method,55 cases in each group. The control group was treated with Chinese medicine nursing,and the observation group was additionally treated with rehabilitation training based on the treatment of the control group. Before and after treatment,the changes in each index in labs,scores of Videofluoroscopic Swallowing Study(VFSS),Swallowing Quality-of-Life questionnaire(SWAL-QOL) and Standardized Swallowing Assessment(SSA) as well as swallowing function in the two groups were compared. Results:After nursing,the serum lipids indexes in the two groups were improved when compared with those before treatment(P<0.05). After nursing, the level of high density lipoprotein(HDL) in the observation group was higher than that in the control group, and the levels of low density lipoprotein(LDL),triglyceride(TG) and total cholesterol(TC) were lower,the difference being significant(P<0.05). After nursing,the scores of VFSS,SWAL-QOL and SSA in the two groups were improved when compared with those before treatment(P<0.05);the VFSS score in the observation group was higher than that in the control group,and the scores of SWAL-QOL and SSA were lower,the difference being significant(P<0.05). After nursing,the total effective rate of swallowing function was 96.36% in the observation group and 76.36% in the control group, the difference being significant(P<0.05). Conclusion: Chinese medicine nursing combined with rehabilitation training can control the clinical symptoms of patients with dysphagia after stroke,effectively improve their swallowing function.
作者
谢琼娜
陈淑琼
俞晶芳
XIE Qiongna;CHEN Shuqiong;YU Jingfang
出处
《新中医》
CAS
2020年第18期140-142,共3页
New Chinese Medicine
