早期综合康复训练加吞咽治疗仪治疗脑卒中吞咽障碍的疗效观察与护理.docVIP

精品论文 参考文献 早期综合康复训练加吞咽治疗仪治疗脑卒中吞咽障碍的疗效观察与护理 杜娟 　　（辽宁阜新矿业集团总医院 123000） 　　【摘要】目的：探讨早期综合康复训练加吞咽治疗仪治疗脑卒中吞咽障碍的疗效观察与护理。方法：脑卒中吞咽困难的患者90例进行分析讨论，随机分为对照组与观察组，一组患者实施常规的护理措施为对照组，另一组患者实施早期康复训练加吞咽治疗仪治疗为观察组，比较两组患者的吞咽功能恢复情况以及并发症发生率。结果：观察组患者针对吞咽障碍实施早期康复护理干预措施后患者的吞咽功能恢复效果优于对照组，经比较具有显著差异（P＜0.05）。结论：对于脑卒中吞咽障碍患者实施早期康复护理干预措施加吞咽治疗仪治疗能够明显的提高临床治疗效果，加快恢复患者的吞咽功能，提高患者的生活质量。 　　【关键词】脑卒中 吞咽障碍 早期康复 吞咽治疗仪 护理干预 　　【中图分类号】R742 【文献标识码】A 【文章编号】1672-5085（2014）05-0076-02 　　 　　【Abstract】 Objective: To investigate the curative effect and nursing of early comprehensive rehabilitation training plus swallowing therapy for the treatment of dysphagia after stroke. Methods: in 90 cases of cerebral strokepatients with dysphagia were discussed, were randomly divided into control group and observation group, a group of patients with routine nursing measures for the control group, another group of patients with early rehabilitation training combined with swallowing therapy in the treatment as the observation group, compared two groups of patients with swallowingfunction recovery and complications rate. Results: Patients with dysphagiafor early rehabilitation nursing intervention in patients with swallowingfunction recovered better than the control group, by comparison withsignificant difference (Plt;0.05). Conclusion: the early rehabilitation nursing intervention measures and swallowing therapy can significantly improve the clinical treatment effect, the implementation of stroke patients with dysphagia, accelerate the recovery of swallowing function of patients,improve the quality of life of patients. 　　【Key words】stroke dysphagia rehabilitation of swallowing therapy nursing intervention 　　1 资料和方法 　　1.1一般资料：选取我科收治的脑卒中吞咽障碍的90例患者进行分析讨论，其中男性患者47例，女性患者43例，年龄在49～88岁，平均年龄在（68.11plusmn;1.87）岁。此组患者神志清、伴有不同程度的吞咽障碍、不同程度的肢体偏瘫，经CT检查：脑出血的患者23例，脑梗死的患者67例。 将其随机分为对照组与观察组，对照组患者实施常规护理措施，观察组患者实施早期康复训练加吞咽治疗仪治疗，两组患者的年龄、性别、文化程度、疾病情况进行比较无显著差异（P＞0.05）有临床可比性。 　　1.2方法：两组患者均遵医进行治疗和护理，