200例急性脑卒中后中重度吞咽困难患者的护理分析

The care analysis after the acute stroke in patients with severe dysphagia

目的探讨综合康复护理治疗对脑卒中伴吞咽困难患者的作用。方法回顾分析了200例脑卒中伴吞咽困难患者的护理治疗。并观察综合护理组、一般护理组及非鼻饲组的吸入性肺炎发生情况及吞咽功能的改善情况。结果三组吸入性肺炎的发生率有显著差异(χ2=26.8,P<0.01),组间比较,综合护理组与一般护理组无显著差异(P>0.05),而非鼻饲组的肺炎发生率高达58.3%,与其他两组均有显著差异(P<0.01)。综合护理组与一般护理组在吞咽功能的改善上也存在显著差异(χ2=6.347,P<0.05)。结论综合康复护理治疗可能有益于脑卒中伴吞咽困难患者吞咽功能的改善,并可能为防止患者发生吸入性肺炎的有效措施。

Objective To investigate the effection of integrated nursing therapeutics for brain stoke patients with dysphagia. Methods Analysed the nursing therapeutics of 200 brain stoke patients with dysphagia and observed incidence of inhalation pneumonia and improving of dysphagia in integrated nursing group and, general nursing group and not nasal feeding group. Results The indence of inhalation pneumonia between with three groups was remarkable differenee（x^2 =26. 8 ,P 〈0. 01 ） ,but which between integrated nursing group and general nursing group was no defference（P 〉0. 05）and incidence of inhalation pneumonia in not nasal feeding group was up to 58.3%, its incidence was higher than other groups, improving of dysphagia in integrated nursing group and general nursing group was also remarkable difference （X^2 = 6. 347, P 〈 0.05 ）. Conclusion Integrated nursing therapeutics is benefit to improving of dysphagia for brain stoke patients with dysphagia, perhaps it is a efficient strategy for preventing inhalation pneumonia in these patients.