脑卒中吞咽障碍患者的早期康复护理

Effect of early rehabilitation nursing to swallowing disorders in stroke patients

目的探讨脑卒中患者吞咽障碍的早期康复护理效果。方法急性脑卒中患者72例,随机分为康复护理治疗组（康复组）和神经科常规治疗组（对照组）,采用才藤氏吞咽障碍7级评价法为观察评价标准,康复组进行系统吞咽康复护理训练治疗。结果康复护理治疗组疗效评价分级明显高于对照组（P〈0.05）。结论进行吞咽功能康复训练越早越好,全面评估患者的吞咽功能,分析吞咽障碍的原因,确定吞咽障碍的发生环节,制定针对性的康复护理计划能有效促进患者吞咽功能恢复。

Objective To investigate the rehabilitation nursing effect of swallowing disorders in stroke patients. Methods 72 acute stroke patients were divided into the group of rehabilitation nursing （the rehabilitation group） and the routine treatment group （the control group） in neurology department at random, with 36 cases in each group. The patients of the rehabilitation group were nursed with the ingestive training and the basic functional training of oral cavity and pharyngeal portion. At the same time, the effect was reinforced with the mental nursing. The effect was evaluated by Kubota＇s water drinking test and with swallowing effect standard of Fujishimairou pro-therapy and post-therapy. Results The curative effect of the rehabilitation group was better than that of the control group, and the difference was significant （P 〈 0.05）. Conclusions The earlier the rehabilitation training of swallowing function begin, the better its＇ effect is, By evaluating the patients ＇ swallowing function thoroughly, analyzing the causes of swallowing disorders, determining the occurring link of swallowing disorder, we can make a plan to promote the patients ＇ rehabilitation of swallowing function.