摘要
从脑卒中患者发生隐性误吸的风险因素(年龄、吞咽障碍、意识障碍、疾病与治疗性因素、机械通气、气管插管与气管切开、照护因素)、不良结局(吸入性肺炎、营养不良与恐惧)及防范措施(吞咽功能康复训练、营养管理、集束化护理、知识与技能培训)三方面进行综合论述,旨在为护理人员更好地护理脑卒中患者、预防隐性误吸提供参考.
Abstract
This paper reviews the risk factors for silent aspiration in stroke patients,including age,dysphagia,disorders of con-sciousness,disease and therapeutic factors,mechanical ventilation,endotracheal intubation and tracheotomy,and caregiving fac-tors,summarizes adverse outcomes(aspiration pneumonia,malnutrition and fear)and preventive measures(swallowing function rehabilitation,nutrition management,bundled care,knowledge and skill training),aiming to provide references for prevention and management of silent aspiration in stroke patients.