早期康复训练联合冰棒刺激护理对急性脑卒中患者吞咽障碍的治疗效果观察

Observation of treatment effect of early rehabilitation training combined with popsicle stimulus nursing on dysphagia of acute stroke patients

目的探讨早期康复训练联合冰棒刺激护理对急性脑卒中患者吞咽障碍的治疗效果。方法 68例急性脑卒中患者,依据护理措施不同分为对照组和实验组,各34例。对照组患者给予常规性护理措施,实验组采用早期康复训练联合冰棒刺激护理措施。比较两组护理前后吞咽功能障碍评分、拉斯哥昏迷评分(GCS评分)和生活质量评分以及洼田饮水试验评级情况。结果护理前两组吞咽功能障碍评分比较差异无统计学意义(P>0.05);护理后,两组吞咽功能障碍评分低于护理前,且实验组(3.6±1.1)分低于对照组的(5.0±1.4)分,差异均具有统计学意义(P<0.05)。护理前两组GCS评分和生活质量评分比较,差异无统计学意义(P>0.05);护理后,两组GCS评分和生活质量评分均高于护理前,且实验组高于对照组,差异有统计学意义(P<0.05)。实验组患者洼田饮水试验评级情况优于对照组,差异有统计学意义(P<0.05)。结论早期康复训练联合冰棒刺激护理可以降低患者吞咽障碍,改善患者生活质量,值得临床推广应用。

Objective To explore the treatment effect of early rehabilitation training combined with popsicle stimulus nursing on dysphagia of acute stroke patients. Methods A total of 68 acute stroke patients were divided by different nursing methods into control group and experimental group, with 34 cases in each group. The control group received conventional nursing measure, and the experimental group received early rehabilitation training combined with popsicle stimulus nursing measure. Comparison were made on dysphagia score, Glasgow coma scale（GCS score）, life quality score and Kubota drinking water test ratings before and after nursing in two groups. Results There was no statistically significant difference in dysphagia score before nursing between two groups（P〉0.05）. After nursing, both groups had lower dysphagia score than before nursing, and the experimental group had lower points as（3.6±1.1） points than（5.0±1.4） points in the control group. Their difference had statistical significance（P〈0.05）. There was no statistically significant difference in GCS score and life quality score before nursing in two groups（P〉0.05）. After nursing, both groups had higher GCS score and life quality score than before nursing,and the experimental group had higher points than the control group. Their difference had statistical significance（P〈0.05）. The experimental group had better Kubota drinking water test ratings than the control group, and the difference had statistical significance（P〈0.05）. Conclusion Combination of early rehabilitation training and popsicle stimulus nursing can decrease dysphagia in patients and improve their quality of life. So this method is worth clinical promotion and application.