吞咽功能筛查在脑卒中后减少患者误吸中应用价值.docVIP

吞咽功能筛查在脑卒中后减少患者误吸中应用价值 　　[摘要] 目的 探讨吞咽功能筛查在脑卒中后减少患者误吸中的应用价值。 方法 选取2013年4月～2014年4月在本院住院的220例脑卒中患者，按就诊时间将患者随机分为观察组110例，进行吞咽功能筛查，根据筛查结果予以不同的饮食护理；对照组110例，根据患者主诉是否有呛咳、吞咽困难界定是否存在吞咽障碍，护士按照医嘱进行饮食护理，记录发生误吸及窒息的例数。 结果 观察组筛出吞咽功能异常者57例，筛出率为51.8%，对照组筛出28例，筛出率为25.4%，观察组吞咽功能障碍的筛出率显著高于对照组，差异有统计学意义（P0.01）。观察组的误吸（包括有症状误吸和无症状误吸）发生率显著低于对照组，差异有统计学意义（P0.01）。 结论 吞咽功能筛查在脑卒中后减少患者误吸中有重要的应用价值。 　　[关键词] 吞咽功能筛查；脑卒中；误吸 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721（2015）02（a）-0033-03 　　Application value of swallowing function screening in reduction of patients′aspiration after cerebral apoplexy 　　LUO Meng-yuan 　　Department of Neurosurgery，Nanhai Hospital Affiliated to Southern Medical University in Guangdong Province，Foshan 528200，China 　　[Abstract] Objective To discuss the application value of swallowing function screening in reduction of patients′aspiration after cerebral apoplexy. Methods 220 patients with cerebral apoplexy admitted into our hospital from April 2013 to April 2014 were recruited.According to admission time，all participants were evenly divided into the observation group and control group in random.In the observation group，swallowing function screening was carried on and different diet nursing was provided based on outcomes of screening.In the control group，impaired swallowing was determined on the complaints of whether there was bucking or difficulty in swallowing.The diet nursing was complied with physician′s instruction，and the number of cases in aspiration and suffocation was recorded. Results Dysfunction of swallowing in 57 patients was checked out in the observation group，the screening rate was 51.8%.In the control group，only 28 patients （25.4%） were checked out. The screen out rate of swallowing dysfunction in the observation group was greatly higher than that in the control group with a statistical difference （P0.01）.The incidence rate of aspiration including symptomatic and asymptomatic aspiration in the observation group was remarkably lower than that in the control