脑卒中并假性球麻痹患者吞咽障碍的康复护理

Rehabilitation nursing care for patients with dysphagia caused by stroke associated with pseudobulbar paralysis.

目的探讨脑卒中并假性球麻痹患者吞咽障碍康复护理的方法和效果。方法将42例患者随机分为两组,对照组20例采用传统的常规护理方法,康复组22例在此基础上采用早期系统化康复护理方法,包括吞咽功能训练、摄食训练、鼻饲。结果康复组患者吞咽功能得到不同程度的改善,与对照组相比有显著性差异(P<0·05)。结论对脑卒中并假性球麻痹患者行早期康复训练,有助于恢复吞咽功能,减少并发症,使患者的精神状态和营养状况得到改善。

Objective ： To explore the methods and effectiveness of rehabilitation nursing care for patients with dysphagia caused by stroke associated with pseudobulbar paralysis. Methods： 42 patients were randomly divided into control group （n = 20） and rehabilitation group （ n = 22）. Routine nursing care and early systemic rehabilitation nursing care including deglutition training, food intake and nasal feeding were respectively taken in control and rehabilitation groups. Results： Deglutition of patients was improved in the rehabilitation group, there was significant difference in the comparison of the two groups （P 〈0. 05）. Conclusion： Early rehabilitation nursing care is helpful for patients to restore deglutition and to decrease complication so that the mental state and nutritional condition of patients can be improved.