脑卒中后吞咽障碍康复护理的疗效观察

Observation on therapeutic effect of rehabilitation and nursing management for stroke patients with dysphagia

目的 探讨脑卒中后吞咽障碍康复护理治疗的疗效。方法 31例脑卒中后吞咽障碍患者分为康复护理治疗组（17例）和对照组（14例）。治疗组进行早期吞咽康复护理治疗,疗程3周。采用吞咽X线透视检查法（VFSS）对2组患者治疗前后吞咽障碍进行评分。结果 治疗组治疗后VFSS评分（7.2±2.1）比治疗前（4.0±1.9）及对照组（4.7±2.1）明显提高（P〈0.01）。结论 早期积极地吞咽康复护理训练对于脑卒中后吞咽障碍有明显疗效。

Objective To study the therapeutic effect of rehabilitation and nursing management for stroke patients with dysphagia. Methods 31 cases with dysphagia were randomly divided into the rehabilitation ＆ nursing group （also called as the treatment group, 17 cases） and the control group （14 cases）. The early rehabilitation and nursing management were performed on the patients in the treatment group for 3 weeks. Scores of dysphagia were assessed by VFSS （videofluoroscopic swallowing study） in the two groups before and after the treatment. Results VFSS score （7.2±2.1） of the treatment group was markedly higher than that before the treatment （4.0±1.9） and that of the control group （4. 7± 2.1） （all P 〈 0.01）. Conclusions Rehabilitation and nursing management has a remarkable effect on stroke patients with dysphagia.