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吞咽功能训练在重度颅脑损伤后吞咽功能障碍患者中的应用效果

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目的:观察吞咽功能训练在重度颅脑损伤后吞咽功能障碍患者中的应用效果.方法:选取 2020 年 10 月至 2022 年12 月该院收治的 95 例重度颅脑损伤后吞咽功能障碍患者进行前瞻性研究,按照随机数字表法将其分为对照组(n=47)和观察组(n=48).对照组给予采用常规干预,观察组在对照组基础上联合吞咽功能训练,比较两组干预前后吞咽功能指标[标准吞咽功能评价量表(SSA)、吞咽X线荧光透视检查(VFSS)]评分,带管时间、住院时间及抗生素费用,误吸风险和肺部感染发生率.结果:干预后,两组VFSS评分均高于干预前,且观察组高于对照组,两组SSA评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组带管时间、住院时间均短于对照组,抗生素使用费用低于对照组,差异有统计学意义(P<0.05);观察组误吸风险、肺部感染发生率均低于对照组,差异有统计学意义(P<0.05).结论:在常规干预基础上采用吞咽功能训练可改善重度颅脑损伤后吞咽功能障碍患者吞咽功能指标评分,缩短带管时间、住院时间,降低抗生素使用费用、误吸风险和肺部感染发生率,效果优于单纯常规干预.
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

樊倩倩、李艳、轩慧娟、吴丹丹

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郑州市第三人民医院,河南 郑州 450000

吞咽功能障碍 颅脑损伤 吞咽功能训练 肺部感染 误吸风险

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(7)
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