The influence of early swallowing training on extubation success rate in patients with acute stroke undergoing tracheotomy
Objective To explore the influence of early swallowing training on extubation success rate in patients with acute stroke undergoing tracheotomy.Methods 34 patients with acute stroke undergoing tracheotomy were divided into a conventional treatment group and a swallowing training group according to random numerical table,with 17 cases in each group.The conventional treatment group received routine treatment(dehydration drugs,neuroprotective agents,drugs to improve cerebral circulation,reduce phlegm,maintain internal environment stability,etc)and routine nursing(airway humidification,suction,turning over and buckling back every 2 hours,etc),and the swallowing training group received early swallowing training on the basis of conventional treatment group.The success rate of one-time extubation,clinical pulmonary infection score(CPIS),duration of tube retention and swallowing function were compared between the two groups.Results The success rate of one-time extubation in the swallowing training group was 100.00%,which was higher than 70.59%in the conventional treatment group,and the difference was statistically significant(P<0.05).After treatment,the clinical pulmonary infection score of the conventional treatment group and the swallowing training group were lower than those before treatment;the clinical pulmonary infection score of the swallowing training group was(2.24±0.43)points,which was lower than(4.76±0.66)points of the conventional treatment group;the difference was statistically significant(P<0.05).The duration of tube retention was(28.12±12.18)d in the swallowing training group,which was shorter than(36.82±10.49)d in the conventional treatment group,and the difference was statistically significant(P<0.05).After treatment,the score of swallowing function in both groups were lower than that before treatment;the score of swallowing function was(2.47±1.17)points in the swallowing training group,which was lower than(4.35±0.78)points in the conventional treatment group;the difference was statistically significant(P<0.05).Conclusion Early swallowing training for acute stroke patients undergoing tracheotomy can significantly improve the success rate of one-time extubation,reduce the incidence of pneumonia,shorten the duration of tube retention,and ultimately improve the quality of life of patients,and is worthy of wide clinical application.
万方数据
维普
