人性化干预管理联合进食体位指导在脑卒中患者中的应用效果

Application effect of humanized intervention management combined with catering posture guidance in cerebral apoplexy patients

目的探讨人性化干预管理联合进食体位指导在脑卒中患者中的应用效果。方法分析2015年1月~2018年1月大连市中心医院收治的200例脑卒中患者的临床资料,根据干预措施分为普通干预组(100例)和联合干预组(100例)。观察两组患者干预前后美国国立卫生研究院卒中量表(NIHSS)评分、改良Rankin量表(mRS)评分、日常生活活动能力(Barthel index)指数和上肢运动功能(Fugl-Meyer)评分情况,观察两组患者洼田饮水试验评级情况。结果两组患者干预前NIHSS评分、mRS评分、Barthel指数、Fugl-Meyer评分比较,差异无统计学意义(P> 0.05),干预后两组患者NIHSS评分、Barthel指数、Fugl-Meyer评分均高于同组干预前,m RS评分低于同组干预前,差异有统计学意义(P <0.05),且联合干预组患者干预后NIHSS评分、Barthel指数、Fugl-Meyer评分高于普通干预组,mRS评分低于普通干预组,联合干预组患者洼田饮水试验评级优于普通干预组,差异有统计学意义(P <0.05)。结论人性化干预管理联合进食体位指导在脑卒中患者中应用,可以改善患者神经功能、日常生活能力和运动功能,提高吞咽功能,值得临床推广应用。

Objective To approach effect of humanized intervention management combined with catering posture guidance in cerebral apoplexy patients. Methods From January 2015 to January 2018, in Dalian Municipal Central Hospital, the clinical data of 200 patients with cerebral apoplexy were analyzed, they were divided into general intervention group (100 cases) and joint intervention group (100 cases) by different intervention. The National Institute of Health Stroke scale (NIHSS) score, modified Rankin scale (mRS) score, Barthel index and Fugl-Meyer score of patients in two groups before and after intervention were detected, the Sumida drinking water test grade of patients in two groups were detected. Result The NIHSS score, mRS score, Barthel index and Fugl-Meyer score of patients in two groups before intervention were compared, the differences were no statistical significance (P > 0.05). The NIHSS scores, Barthel index and Fugl-Meyer scores in two groups were higher than before intervention, the mRS scores were lower than before intervention, the differences were statistically significant (P < 0.05);and the NIHSS scores, Barthel index and Fugl-Meyer scores of joint intervention group after intervention were higher than general intervention group, the mRS score was lower than general intervention group, the Sumida drinking water test grade in joint intervention group were better than general intervention group, the differences were statistically significant (P < 0.05). Conclusion The application of cerebral apoplexy patients by humanized intervention management combined with catering posture guidance, which could improve nerve function, Barthel and Fugl-Meyer, increase swallowing function, it is worth to be used.