基于标准吞咽功能评估的分层干预应用于脑卒中吞咽障碍患者中的效果观察

Observation on the effect of stratified intervention based on standard swallowing function evaluation in stroke patients with dysphagia

目的探究基于标准吞咽功能评估的分层干预应用于脑卒中吞咽障碍患者中的效果。方法选取2019年10月至2020年10月无锡市第二人民医院收治的脑卒中吞咽障碍患者100例,按随机数字表法分为两组,各50例。对照组男29例,女21例,年龄(67.98±5.48)岁;观察组男31例,女19例,年龄(68.05±5.15)岁。对照组给予常规干预,观察组给予基于标准吞咽功能评估的分层干预。比较两组临床康复效果、吞咽功能及不良反应发生率。结果观察组干预后总有效率为94.00%(47/50),显著高于对照组72.00%(36/50),差异有统计学意义(χ^(2)=8.575,P<0.05)。干预前,两组脑卒中吞咽障碍患者吞咽功能比较,差异均无统计学意义(均P>0.05);干预后,观察组Burke吞咽障碍筛查量表、标准吞咽功能评估量表(SSA)评分分别为(1.83±0.30)分、(23.31±1.83)分,均显著低于对照组(3.24±0.45)分、(27.76±1.24)分,差异均有统计学意义(均P<0.05)。观察组干预后不良反应发生率为6.00%(3/50),显著低于对照组22.00%(11/50),差异有统计学意义(P<0.05)。结论基于标准吞咽功能评估的分层干预应用于脑卒中吞咽障碍患者可有效提高其临床康复效果,增强吞咽功能,并显著减少不良反应发生。

Objective To explore the effect of stratified intervention based on standard swallowing function evaluation in stroke patients with dysphagia.Methods A total of 100 stroke patients with dysphagia admitted to Wuxi Second People's Hospital from October 2019 to October 2020 were selected and were divided into two groups by the random number table,with 50 cases in each group.In the control group,there were 29 males and 21 females,with an age of(67.98±5.48)years old.In the observation group,there were 31 males and 19 females,with an age of(68.05±5.15)years old.The control group was given routine intervention,and the observation group was given stratified intervention based on standard swallowing function evaluation.The clinical rehabilitation effect,swallowing function,and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group after the intervention was 94.00%(47/50),which was higher than that of the control group[72.00%(36/50)](χ^(2)=8.575,P<0.05).Before the intervention,there was no statistically significant difference in the swallowing function between the two groups of stroke patients with dysphagia(P>0.05);after the intervention,the scores of Burke Dysphagia Screening Scale and Standard Swallowing Function Assessment Scale(SSA)in the observation group were(1.83±0.30)points and(23.31±1.83)points,respectively,which were significantly lower than those in the control group[(3.24±0.45)points and(27.76±1.24)points](both P<0.05).The incidence of adverse reactions in the observation group was 6.00%(3/50),which was significantly lower than that in the control group[22.00%(11/50)](P<0.05).Conclusion Stratified intervention based on standard swallowing function evaluation applied in stroke patients with dysphagia can effectively improve their clinical rehabilitation effect,enhance their swallowing function,and significantly reduce the occurrence of adverse reactions.