观察路径护理在药物治疗脑卒中伴吞咽障碍患者康复中的价值

Efficacy of the pathway nursing on treating cerebral apoplexy and dysphagia with medicine

目的:探究常规药物治疗联合路径护理对脑卒中伴吞咽障碍患者康复效果的影响。方法:本次研究病例收集时间为2016年1月-2017年5月,共收集脑卒中伴吞咽障碍患者72例,将所有患者采取随机数字表法分为研究组与对照组,各36例。两组患者均行常规对症治疗,基于此实施肝素钠、阿司匹林等药物治疗,同时对照组辅以常规护理,研究组则辅以路径护理。通过洼田实验评定患者的吞咽功能恢复情况。记录两组患者不良反应以及康复效果。结果:经过治疗和护理后,研究组吞咽评分、康复效果、不良反应发生率均优于对照组,数据差异在统计学中有意义(P<0.05)。结论:在药物治疗基础上实施路径护理可有效改善脑卒中伴吞咽障碍患者的异常吞咽情况,提升患者的康复效果,因此该种护理模式具有更高的推广价值。

Objective:To explore the effect of routine medicine and pathway nursing on cerebral apoplexy and dysphagia.Methods:72 cases were divided into the study group and the control group,36 cases in each.Both groups were given conventional symptomatic,heparin sodium and aspirin.The control group was given routine nursing.The study group was given pathway nursing.The recovery of swallowing function was assessed.Adverse reactions and rehabilitation effects were recorded in two groups.Results:After treatment and nursing,swallowing score,rehabilitation effects and adverse reaction rate in the study group were better than the control group,with statistically differences(P<0.05).Conclusion:Medicine and pathway nursing can effectively improve the abnormal swallowing and rehabilitation effects,and is worthy of higher popularization value.