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目的探讨早期康复训练联合冰棒刺激护理对急性脑卒中患者吞咽障碍的治疗效果。方法 68例急性脑卒中患者,依据护理措施不同分为对照组和实验组,各34例。对照组患者给予常规性护理措施,实验组采用早期康复训练联合冰棒刺激护理措施。比较两组护理前后吞咽功能障碍评分、拉斯哥昏迷评分(GCS评分)和生活质量评分以及洼田饮水试验评级情况。结果护理前两组吞咽功能障碍评分比较差异无统计学意义(P>0.05);护理后,两组吞咽功能障碍评分低于护理前,且实验组(3.6±1.1)分低于对照组的(5.0±1.4)分,差异均具有统计学意义(P<0.05)。护理前两组GCS评分和生活质量评分比较,差异无统计学意义(P>0.05);护理后,两组GCS评分和生活质量评分均高于护理前,且实验组高于对照组,差异有统计学意义(P<0.05)。实验组患者洼田饮水试验评级情况优于对照组,差异有统计学意义(P<0.05)。结论早期康复训练联合冰棒刺激护理可以降低患者吞咽障碍,改善患者生活质量,值得临床推广应用。
Objective To investigate the therapeutic effect of early rehabilitation training combined with popsicle stimulation on swallowing disorders in patients with acute stroke. Methods Sixty-eight patients with acute stroke were divided into control group and experimental group according to different nursing measures, 34 cases in each group. Patients in the control group were given routine nursing interventions. In the experimental group, early rehabilitation training combined with popsicles were used to stimulate the nursing measures. The scores of swallowing dysfunction, Lascog’s coma (GCS score), quality of life score and Kubota drinking water test rating before and after treatment were compared between the two groups. Results There was no significant difference in scores of dysphagia between the two groups before nursing (P> 0.05). After nursing, the scores of swallowing dysfunction in both groups were lower than those before nursing, and the scores in the experimental group (3.6 ± 1.1) were lower than those in the control group 5.0 ± 1.4), the differences were statistically significant (P <0.05). There was no significant difference in GCS score and quality of life score between the two groups before nursing (P> 0.05). After nursing, GCS score and quality of life score of both groups were higher than those before nursing, and the experimental group was higher than the control group Statistical significance (P <0.05). The experimental group patients Wudia drinking water test rating superior to the control group, the difference was statistically significant (P <0.05). Conclusion Early rehabilitation training combined with popsicle stimulation can reduce swallowing disorders and improve the quality of life of patients, worthy of clinical application.