首页|脑梗死后吞咽困难患者实施神经电磁刺激联合摄食细节管理的效果评价

脑梗死后吞咽困难患者实施神经电磁刺激联合摄食细节管理的效果评价

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目的:探究评价脑梗死后吞咽困难患者实施神经电磁刺激联合摄食细节管理的效果.方法:选取2020年6月—2022年5月电子科技大学医学院附属绵阳医院收治的84例脑梗死后吞咽困难患者作为研究对象,按照入院时间将患者分为两组,每组各42例.两组患者均接受常规康复护理,对照组患者实施摄食细节管理,联合组患者实施神经电磁刺激联合摄食细节管理.比较两组患者干预前后标准吞咽功能评价量表(SSA)评分、吞咽障碍特异性生存质量量表(SWAL-QOL)评分、血清营养生化指标[总胆固醇(TC)、白蛋白(ALB)、血红蛋白(Hb)]水平、并发症发生率、护理满意度.结果:干预前,两组患者SSA评分、SWAL-QOL评分比较,差异无统计学意义(t=0.591、0.265,P>0.05);干预后,两组患者SSA评分较干预前低、SWAL-QOL评分较干预前高,且联合组患者SSA评分低于对照组患者、SWAL-QOL评分高于对照组患者,差异有统计学意义(t=6.281、2.358,P<0.05).干预前,两组患者血清TC、ALB、Hb水平比较,差异无统计学意义(t=1.151、0.655、0.396,P>0.05);干预后,联合组患者血清ALB、Hb水平高于对照组患者,差异有统计学意义(t=0.787、2.248,P<0.05),两组患者血清TC水平比较,差异无统计学意义(t=4.034,P>0.05).干预后,联合组患者并发症发生率为14.29%,低于对照组患者的33.33%,差异有统计学意义(χ2=4.200,P<0.05).干预后,联合组患者护理满意度为92.86%,高于对照组患者的76.19%,差异有统计学意义(χ2=4.459,P<0.05).结论:将神经电磁刺激联合摄食细节管理应用于脑梗死后吞咽困难患者,可提高患者吞咽功能,改善其营养状态,降低并发症发生率,提高患者的生活质量及护理满意度.
Effect Evaluation of Neuroelectromagnetic Stimulation Combined with Feeding Detail Management in Patients with Dysphagia After Cerebral Infarction
Objective:To explore and evaluate the effect of neuroelectromagnetic stimulation combined with feeding detail management in patients with dysphagia after cerebral infarction.Methods:84 patients with dysphagia after cerebral infarction in the hospital from June 2020 to May 2022 were selected and divided into control group and combination group according to admission time.Both groups received routine rehabilitation nursing,the control group was administered feeding details management,and the combination group was administered neuroelectromagnetic stimulation combined feeding details management.The standard swallowing function Evaluation Scale(SSA)score,swallowing dysphagia Specific Quality of Life Scale(SWAL-QOL)score,serum nutritional biochemical indexes:total cholesterol(TC),albumin(ALB),hemoglobin(Hb)levels,complication rate and nursing satisfaction before and after intervention were compared between the two groups.Results:Before intervention,there was no significant difference in SSA score and SWAL-QOL score between the two groups(t=0.591,0.265;P>0.05).After intervention,SSA score was lower and SWAL-QOL score was higher in both groups than before treatment.The SSA score of the combined group was lower than that of the control group,while the SWAL-QOL score of the combined group was higher than that of the control group(t=6.281,2.358;P<0.05).Before intervention,there was no significant difference in serum TC,ALB and Hb levels between the two groups(t=1.151,0.655,0.396;P>0.05).After intervention,serum ALB and Hb levels in combination group were higher than those in control group(t=0.787,2.248;P<0.05),but there was no significant difference in serum TC levels between the two groups(t=4.034,P>0.05).After intervention,the complication rate of the combined group was 14.29%lower than that of the control group(33.33%),with statistically significant difference(χ2=4.200,P<0.05).After intervention,the nursing satisfaction of combination group was 92.86%higher than that of control group(76.19%),with statistically significant difference(χ2=4.459,P<0.05).Conclusion:The application of neuroelectromagnetic stimulation combined with feeding detail management in patients with dysphagia after cerebral infarction can improve the swallowing function of patients,improve their nutritional status,reduce the incidence of complications,and improve the quality of life of patients.

Cerebral infarctionDifficulty swallowingNeuroelectromagnetic stimulationFeeding detail management

刘一颖

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电子科技大学医学院附属绵阳医院·绵阳市中心医院康复医学科,四川 绵阳 621000

脑梗死 吞咽困难 神经电磁刺激 摄食细节管理

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(8)
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