运用棉棒涂擦刺激法护理对脑卒中早期吞咽困难影响.docVIP

运用棉棒涂擦刺激法护理对脑卒中早期吞咽困难影响 　　[摘要] 目的 探讨在脑卒中早期运用棉棒涂擦刺激法护理对患者吞咽困难情况的影响，旨在进一步总结脑卒中患者的护理方法。 方法 选取我院2014年2月～2015年2月收治的早期脑卒患者共92例，按照患者住院号随机分为对照组与观察组，两组患者均接受脑卒中基础常规护理及适当的早期康复功能训练计划，对照组进行基础常规脑卒中功能康复训练，观察组在基础常规脑卒中功能康复训练基础上增加棉棒涂擦刺激护理。护理结束后比较两组患者治疗前后误吸的发生率、吞咽困难临床治疗效果及由吞咽困难导致的并发症的发生率及生活质量评分。 结果 两组患者治疗前误吸的发生率无明显统计学差异（P0.05），但治疗后观察组误吸发生率明显低于对照组，差异有统计学意义（P0.05）。通过治疗，两组患者误吸发生率均较治疗前有明显降低（P0.05）。观察组吞咽困难治疗临床总显效率为76.1%，明显高于对照组54.3%，差异有统计学意义（P0.05）。观察组由吞咽障碍引起的并发症发生率为8.7%，明显低于对照组26.1%，差异有统计学意义（P0.05）。观察组患者生活质量评分明显高于对照组，差异有统计学意义（P0.05）。 结论 在脑卒中早期应用基础常规功能训练与棉棒涂擦刺激法对吞咽功能有较好的改善效果，有效的降低了吞咽困难导致的误吸、肺炎及营养不良等并发症，且达到了较好的临床治愈效果，简单易行，适合临床推广使用。 　　[关键词] 脑卒中；早期；棉棒涂擦刺激法；吞咽困难；护理 　　[中图分类号] R473.74 [文献标识码] B [文章编号] 2095-0616（2016）01-127-03 　　[Abstract] Objective To investigate the effects of cotton sticks rubbed stimulation on the early stroke patients with dysphagia， in order to further sum up the nursing methods of patients with stroke. Methods A total of 92 patients with stroke in our hospital from February 2014 to February 2015 were randomly divided into a control group and an observation group， the two groups were treated with basic routine nursing and early rehabilitation training program. Functional rehabilitation training of the control group was carried out by conventional stroke， the observation group further received cotton swab rubbed stimulating nursing. After the end of the nursing care， the incidence of aspiration， the clinical treatment effect and the incidence of complications caused by dysphagia and quality of life were compared between the two groups. Results There was no significant difference between the two groups before treatment in aspiration occurring rate（P0.05）， but after treatment， the observation groups aspiration occurring rate was significantly lower than that in the control group， the difference was statistically significant（P 　　[Key words] Stroke； Early； Stimulation swab rubbed nursing； Dysphagia； Nursing 　　随着人口老龄化与人们生活方式的改变，脑卒中成为危害老年人身心健康的主要疾病之一，我国每年约有600万～700万左右的脑卒中患者