进展性脑梗死伴吞咽困难患者早期护理的临床效果观察

Clinical Observation on Early Nursing in Patients With Progressive Cerebral Infarction Complicated With Dysphagia

目的探讨将早期护理干预应用到进展性脑梗死伴吞咽困难患者中的效果。方法将2016年8月—2017年8月在我院收治的进展性脑梗死伴吞咽困难患者中选取65例作研究。按照随机数字表法将其分为两组,实验组35例,参照组30例。对实验组患者行早期护理干预,对参照组患者行常规护理和治疗。对两组进展性脑梗死伴吞咽困难患者的吞咽功能有效率、吸入性肺炎发生率作研究。结果将实验组作对照,参照组患者的吞咽功能有效率较低,吸入性肺炎发生率较高,组间数据对比差异具有统计学意义(P<0.05)。结论将早期护理干预应用在进展性脑梗死伴吞咽困难患者的护理中,可将患者吞咽困难情况予以改善,控制吸入性肺炎发生情况,避免患者出现误吸。

Objective To explore the effect of early nursing intervention on patients with progressive cerebral infarction complicated with dysphagia. Methods From August 2016 to August 2017, 65 cases of progressive cerebral infarction with dysphagia in our hospital were selected for the study. According to the random number table method, they were divided into two groups, 35 cases in the experimental group and 30 cases in the reference group. The patients in the experimental group received early nursing intervention, and the patients in the reference group received routine nursing and treatment. The efficiency of swallowing function and the incidence of aspiration pneumonia in two groups of patients with progressive cerebral infarction complicated with dysphagia were studied. Results Compared with the experimental group, the efficiency of swallowing function in the reference group was significantly lower, the incidence of aspiration pneumonia was significantly higher, and the difference between the two groups was signifcant （P 〈 0.05）. Conclusion Early nursing intervention on progressive cerebral infarction with dysphagia improves and controls the occurrence of aspiration pneumonia, avoids patients from aspiration.