改良吞咽测试流程在急性脑卒中患者中应用的效果观察

Clinical Effect of Modified Swallowing Test Procedure for Acute Stroke Patients with Dysphagia

目的探讨改良吞咽测试流程在急性脑卒中吞咽障碍患者吞咽评估中的作用。方法将101例伴吞咽障碍的急性脑卒中患者随机分为观察组51例和对照组50例。对照组采用常规的护理评估干预方法,采用洼田饮水试验进行评估;观察组通过借鉴香港医院的吞水测试和吞糊测试,根据临床工作对吞咽测试流程进行改良。比较两组患者吞咽评估后留置胃管的病例数。结果使用改良吞咽测试流程评估后,观察组留置胃管率低于对照组,差异有统计学意义(P<0.05)。结论改良吞咽测试流程应用于急性脑卒中患者的吞咽评估,能明显减少需留置胃管患者的病例数,值得临床推广应用。

Objective To observe the effect of modified swallowing test procedure in the swallowing assessment of acute stroke patients with dysphagia.Methods 101 patients were randomly divided into experimental group（n=51） and control group（n=50）.Conventional nursing was applied in control group,while modified swallowing test procedure,including assessment of swallowing function,water swallowing test and paste swallowing test was used in experimental group.The cases with indwelling gastric tubes was compared in two groups.Results The incidence of indwelling gastric tubes of experimental group was lower than that of control group（P0.05）.Conclusion With the application of modified swallowing test procedure in acute stroke patients with dysphagia,the incidence of indwelling gastric tubes decreases noticeably.