目的 探讨脑卒中吞咽障碍的护理措施及卒中相关性肺炎的预防方法。方法 选取河南省中医药研究院附属医院2015-06—2017-06收治的脑卒中吞咽障碍患者,随机分为2组各58例,对照组在常规治疗的基础上常规的护理措施,观察组在对照组的基础上给予综合护理干预措施及康复锻炼。依据洼田饮水试验评定吞咽功能,观察2组疗效及卒中相关性肺炎的发生情况。结果 干预前2组洼田饮水试验分级比较差异无统计学意义（P〉0.05）,干预后2组洼田饮水试验分级均较干预前提高,且观察组优于对照组（均P〈0.05）。观察组卒中相关性肺炎的发生率明显低于对照组（P〈0.01）。结论 综合护理干预及康复锻炼能够有效改善脑卒中吞咽障碍患者的吞咽功能,有效防止卒中相关性肺炎的发生。
Objective To explore the nursing measures of stroke dysphagia and the prevention of stroke-related pneumonia. Methods The patients were randomly divided into two groups, with 58 cases each. The control group treated with the conventional therapy based on routine nursing measures, the observation group treated with comprehensive nursing intervention and rehabilita tion exercise. The swallowing function was evaluated according to the drinking water test. The incidence of stroke and stroke-relat- ed pneumonia were observed. Results The two groups showed similar drinking water scores before the treatment. After the inter- vention, the scores of drinking water in the two groups were significantly higher than that before the treatment（P〈0.05）. The in- cidence of stroke-related pneumonia in the observation group was significantly lower than that in the control group （P〈0.01）. Conclusion Comprehensive nursing intervention and rehabilitation exercise can effectively improve the swallowing function of stroke patients with dysphagia, effectively prevent the occurrence of stroke-related pneumonia.
Chinese Journal of Practical Neruous Diseases