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目的探讨康复护理对依达拉奉治疗脑卒中吞咽障碍患者功能恢复及生活质量的影响。方法选取医院住院治疗的脑卒中吞咽障碍患者162例,随机分为对照组79例和研究组83例。对照组患者采用依达拉奉配合常规护理措施;研究组患者采用依达拉奉配合康复护理,两组均治疗6个月。结果治疗6个月后,两组患者运动功能评定量表(Fugl-Meyer)、日常生活活动力能评定指数(Barthel)评分较治疗前显著升高(P<0.01),且研究组升高幅度更显著(P<0.01);两组患者汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数(PSQI)评分较治疗前显著降低(P<0.01),且研究组降低幅度更显著(P<0.01);两组吞咽功能较治疗组有显著性差异(P<0.01),且两组比较,差异有统计学意义(P<0.05)。结论采用康复护理对依达拉奉治疗脑卒中吞咽障碍患者功能恢复效果显著,且能改善心理状态,提高睡眠质量,值得推广。
Objective To investigate the effect of rehabilitation nursing on functional recovery and quality of life in patients with swallowing dyskinesia treated with edaravone. Methods A total of 162 stroke patients with hospitalized stroke were randomly divided into control group (n = 79) and study group (n = 83). Patients in the control group were treated with edaravone in combination with routine nursing care. Patients in the study group were treated with edaravone and rehabilitation nursing, and both groups were treated for 6 months. Results After 6 months treatment, Fugl-Meyer score and Barthel score of both groups were significantly higher than those before treatment (P <0.01), and the increase in the study group (P <0.01). The HAMD and PSQI score of the two groups were significantly lower than those before treatment (P <0.01), and the reduction rate of the study group was more significant (P <0.01) (P <0.01). There was significant difference between the two groups in the swallowing function (P <0.05). Conclusion Rehabilitation nursing of edaravone in patients with stroke dysphagia recovery effect is significant, and can improve the psychological status, improve sleep quality, it is worth promoting.