脑梗死后假性延髓麻痹致吞咽困难的护理分析

Nursing analysis of dysphagia caused by pseudobulbar palsy after cerebral infarction

目的分析脑梗死后假性延髓麻痹致吞咽困难的护理效果。方法回顾性分析2013年7月至2015年7月本院诊治的65例脑梗死后伴假性延髓麻痹患者临床资料，本组患者均接受康复护理干预，观察护理后患者吞咽功能及生活质量改善情况，不良事件发生率。结果护理后，本组患者吞咽功能恢复有效率超过90．00％，不良事件总发生率低于10．00％，同时生活质量指标（BI、Rankin与SF-36）评分均较高。结论脑梗死后假性延髓麻痹致吞咽困难患者开展吞咽功能和进食康复训练护理效果良好，具有临床实际应用价值。

Objective To analyze the nursing effect of dysphagia caused by pseudobulbar palsy after cerebral infarction. Methods Retrospectively analyzed clinical data of 65 cases of pseudobulbar palsy after cerebral infarction in our hospital from July 2013 to July 2015. All patients underwent rehabilitation nursing intervention, observed the improvement in swallowing function and life quality of patients after nursing and the incidence of adverse events. Results After nursing, the effective rate of swallowing function recovery of patients was more than 90%, the incidence of adverse events was less than 10%, the indexes of life quality （BI, Rankin and SF-36） were all higher. Conclusion Swallowing function and feeding rehabilitation training has good effect in patients with dysphagia caused by pseudobulbar palsy after cerebral infarction, and is of clinical value.