脑卒中患者吞咽障碍评估和营养支持护理体会

The Nursing Experience of Assessment and Nutritional Support for the Patients with Stroke Dysphagia

目的:探讨脑卒中患者吞咽障碍评估以及营养支持的护理方法。方法:选择2013年8月-2014年1月笔者所在医院收治的脑卒中患者74例,将74例患者随机分为研究组和对照组,每组37例。均进行评估,对研究组患者主要采用肠内营养支持的护理方法,对照组患者主要采用肠外营养支持护理方法,对比两组患者的护理效果。结果:研究组患者的白蛋白、总蛋白以及血红蛋白等的指标明显高于对照组(P<0.05)。研究组患者并发症发生率为5.4%,对照组患者并发症发生率为8.1%。结论:通过对脑卒中患者吞咽障碍进行评估,并且采取肠内营养支持的方法,能够提高营养支持的效果,减少并发症的发生率,促进患者的良好康复。

Objective：To investigate patients with stroke dysphagia assessment and nursing methods of nutritional support.Method：74 cases of stroke patients from August 2013 to January 2014 in our hospital were selected,74 patients were randomly divided into the study group and the control group,37 cases in each group.They were all assessed,the study group was used enteral nutrition care methods,the control group was used parenteral nutrition care methods,the two groups of patients care effect was compared.Result：The index of albumin,total protein and hemoglobin in study group of patients were significantly higher than those in the control group（P〈0.05）.The complication rate was 5.4% in the study group,in the control group was 8.1%.Conclusion：Based on the assessment of dysphagia in patients with stroke,and take enteral nutrition support methods can improve the effect,reduce the incidence of complications,promote good rehabilitation.