脑卒中后假性延髓麻痹致吞咽困难患者的康复护理

Rehabilitation Nursing Care of Patients With Dysphagia After Cerebral Apoplexy

目的探讨脑卒中后假性延髓麻痹致吞咽困难患者的康复护理。方法挑选2014年11月-2015年10月我院收治的70例脑卒中后假性延髓麻痹致吞咽困难患者作为观察组,实施心理照顾与全面的吞咽功能练习,给予合理饮食指导;纳入同期行常规护理的70例脑卒中后假性延髓麻痹致吞咽困难患者为对照组,对比观察两组患者疗效。结果经治疗与康复练习后,运用洼田饮水试验评定吞咽困难程度,观察组41例痊愈,18例显效,9例有效,2例无效,总有效率97.1%,与对照组87.1%相比,差异有统计学意义（P〈0.05）。结论康复护理可让脑卒中后假性延髓麻痹致吞咽困难患者的生活质量得到提高。

Objective To investigate the rehabilitation nursing care of patients with dysphagia after stroke. Methods Selected 70 patients with post-stroke pseudobulbar palsy induced dysphagia patients in our hospital as observation group from November 2014 to October 2015, exercise psychological care and comprehensive swallowing function, give reasonable dietary guidance, into underwent routine nursing care of 70 cases of stroke pseudo extension cord paralysis induced dysphagia patients as control group were observed and compared the efficacy of two groups of patients.Results After treatment and rehabilitation exercises, using the watian drinking water test evaluation of swallowing difficulty, observation group with 41 cases were cured, 18 cases were markedly effective, 9 cases were effective, 2 cases ineffective, the total efficiency of 97.1%, and compared to a control group of 87.1%, the difference was statistically significant（P〈0.05）. Conclusion Rehabilitation nursing can improve the quality of life of patients with dysphagia after stroke.