首页|脑卒中后吞咽障碍患者应用吞咽-摄食管理与综合吞咽训练的效果对比

脑卒中后吞咽障碍患者应用吞咽-摄食管理与综合吞咽训练的效果对比

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目的:探讨脑卒中后吞咽障碍患者应用吞咽-摄食管理与综合吞咽训练的效果对比.方法:选取2021年3月-2022年3月福建省连江县医院神经内科收治的132例脑卒中后吞咽障碍患者作为研究对象.采用随机数字表法将研究对象随机分为对照组(n=68)采用综合吞咽训练方案和研究组(n=64)采用常吞咽-摄食管理,比较干预效果.结果:研究组干预有效率为98.43%(63/64)与对照组95.58%(65/68)对比无差异(P>0.05);研究组干预后护理后SSA量表总分与对照组对比无显著差异(P>0.05);研究组干预后EDQoL量表心理、生理/认知、经济状况、工作或学习各维度及总分均低于对照组(P<0.05);研究组的不良事件发生率为3.12%低于对照组11.76%,(P<0.05).结论:吞咽-摄食管理与综合吞咽训练应用于脑卒中后吞咽障碍患者中疗效与吞咽功能均可取得良好效果,但吞咽-摄食管理应用后患者生活质量有显著提升、不良事件发生概率显著降低,可推广.
Objective:To investigate the effect of swallowing-feeding management and comprehensive swallowing training in patients with dysphagia after stroke.Methods:A total of 132 patients with dysphagia after stroke admitted to the Department of Neurology,Lianjiang County Hospital of Fujian Province from March 2021 to March 2022 were enrolled as the study subjects.The random number table method was used to randomly divide the study subjects into the control group(n=68),and the comprehensive swallowing training program and the study group(n=64)were used to adopt regular swallowing-feeding management to compare the intervention effects.Results:The effective rate of intervention in the study group was 98.43%(63/64),and there was no difference between 95.58%(65/68)and the control group(P>0.05).There was no significant difference between the total score of the SSA scale after intervention and care in the study group compared with the control group(P>0.05).The psychological,physiological/cognitive,economic status,work or study dimensions and total scores of the EDQoL scale after the intervention were lower than those in the control group(P<0.05).The incidence of adverse events in the study group was 3.12%,which was lower than that in the control group of 11.76%,(P<0.05).Conclusion:The efficacy and swallowing function of swallowing-feeding management and comprehensive swallowing training in patients with dysphagia after stroke can achieve good results,but the quality of life of patients and the probability of adverse events are significantly reduced after the application of swallow-feeding management,which can be generalized.

Post-stroke swallowing disordersswallowing-feeding managementcomprehensive swallowing trainingeffect

刘燕兰、刘玉玲

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福建省连江县医院 福建连江 350500

脑卒中后吞咽障碍 吞咽-摄食管理 综合吞咽训练 效果

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(5)
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