进展性脑梗死伴吞咽困难患者早期护理干预的临床观察

Clinical observation of early nursing intervention on patients with stroke in progression with dysphagia

目的:总结进展性脑梗死伴吞咽困难患者早期护理干预的临床效果。方法:收治进展性脑梗死患者90例,随机分为观察组和对照组。对照组给予常规护理和对症治疗,观察组在此基础上根据吞咽功能障碍程度给予进食训练及吞咽肌的功能训练。结果:观察组总有效率91.11%,吸入性肺炎发生率8.89%,满意率88.89%。对照组总有效率71.11%,吸入性肺炎发生率26.67%,满意率66.67%。两组比较,差异具有统计学意义(P<0.05)。结论:早期护理干预可有效改善伴有吞咽困难的进展性脑梗死患者的吞咽功能,降低并发症发生率,提高患者生活质量。

Objective:To summarize the clinical effect of early nursing intervention on patients with stroke in progression with dysphagia.Methods:90 cases of patients with stroke in progression were randomly divided into the observation group and the control group.The control group were given routine nursing and symptomatic treatment,on this basis,the observation group were given feeding training and swallowing muscle function training according to the degree of swallowing dysfunction.Results:The total effective rate of the observation group was 91.11%;the incidence of aspiration pneumonia was 8.89%;the satisfaction rate was88.89%.The total effective rate of the control group was 71.11%;the incidence of aspiration pneumonia was 26.67%;the satisfaction rate was 66.67%.There were statistically significant differences between the two groups(P<0.05).Conclusion:Early nursing intervention could improve the swallowing function of patients with stroke in progression with dysphagia effectively,reduce the complications,and improve patients' quality of life.