Application effects of swallowing function training in patients with swallowing dysfunction after severe craniocerebral injury
Objective:To observe application effects of swallowing function training in patients with swallowing dysfunction after severe craniocerebral injury.Methods:A prospective study was conducted on 95 patients with swallowing dysfunction after severe craniocerebral injury admitted to this hospital from October 2020 to December 2022.According to the random number table method,they were divided into control group(n=47)and observation group(n=48).The control group was given routine intervention,while the observation group was given swallowing function training on the basis of that of the control group.The swallowing function indexes[standardized swallowing assessment(SSA),video fluoroscopic swallowing study(VFSS)]scores before and after the intervention,the tube time,the hospitalization time,the antibiotic cost,the incidence of aspiration risk and pulmonary infection were compared between the two groups.Results:After the intervention,the VFSS scores of the two groups were higher than those before the intervention,and that in the observation group was higher than that in the control group;the SSA scores of the two groups were lower than those before the intervention,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).The tube time,the hospitalization time in the observation group were shorter than those in the control group,and the antibiotic cost in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of aspiration risk and pulmonary infection in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the swallowing function training nursing can improve the swallowing function index scores of the patients with swallowing dysfunction after severe craniocerebral injury,shorten the tube time,the hospitalization time,and reduce the antibiotic cost,the incidence of aspiration risk and pulmonary infection.Moreover,it is superior to single routine nursing.
Swallowing dysfunctionCraniocerebral injurySwallowing function trainingPulmonary infectionAspiration risk