论文部分内容阅读
目的探讨社区康复指导结合冷刺激在脑梗死吞咽困难中的临床价值。方法选择河南省濮阳市中原油田第一社区第一医院收治的脑梗死合并吞咽困难患者80例,随机分为两组,各40例,观察组进行社区康复训练结合冷刺激疗法,对照组则进行单纯的社区康复训练,对所有患者通过电话或上门随访1年,比较因吞咽困难导致并发症情况,并统计吞咽困难好转时间、自主进食时间、误吸控制时间。应用SPSS13.0进行数据处理,计量资料组间比较使用t检验,组间率的比较采用χ2检验。P<0.05为差异有统计学意义。结果观察组发生吸入性肺炎、营养不良、电解质失衡及脱水的比例(2.5%、2.5%、2.5%、2.5%)均显著低于对照组(22.5%、25.0%、27.5%、25.0%),两组相比差异有统计学意义(均P<0.05),观察组吞咽困难好转时间(5.6±0.9)d、自主进食时间(10.8±5.9)d、误吸控制时间(3.8±1.1)d,均显著快于对照组[(15.5±3.5)d、(32.3±13.4)d、(8.1±2.8)d](P<0.05)。结论针对脑梗死合并吞咽困难患者进行有效的社区康复结合冷刺激治疗,能更好的促进患者吞咽困难恢复,减少并发症发生。
Objective To explore the clinical value of community rehabilitation guidance combined with cold stimulation in dysphagia of cerebral infarction. Methods Eighty patients with cerebral infarction complicated with dysphagia who were admitted to the First Hospital of the First Community, Zhongyuan Oilfield, Puyang City, Henan Province were randomly divided into two groups of 40 cases. The observation group was given community rehabilitation training combined with cold stimulation therapy while the control group Simple community-based rehabilitation training, all patients by telephone or home-based follow-up of 1 year, compared with complication due to dysphagia, and statistics of dysphagia improved time, self-feeding time, aspiration control time. Application SPSS13.0 for data processing, measurement data between the groups using t test, the comparison between groups using the χ2 test. P <0.05 for the difference was statistically significant. Results The rates of aspiration pneumonia, malnutrition, electrolyte imbalance and dehydration in the observation group were significantly lower than those in the control group (2.5%, 2.5%, 2.5%, 2.5%) compared with the control group (22.5%, 25.0%, 27.5%, 25.0% There was significant difference between the two groups (all P <0.05). The improvement of dysphagia (5.6 ± 0.9) d, the time of spontaneous eating (10.8 ± 5.9) d, the duration of aspiration control (3.8 ± 1.1) (15.5 ± 3.5) d, (32.3 ± 13.4) days and (8.1 ± 2.8) days, respectively (P <0.05). Conclusions Effective community rehabilitation combined with cold stimulation for patients with cerebral infarction complicated with dysphagia can better promote the recovery of dysphagia patients and reduce the incidence of complications.