| 丁思莲,卞雅红,魏燕,肖晶晶,吴玉凤.家庭参与式口咽操训练在卒中后吞咽困难患者中的应用及效果评价[J].上海护理,2023,23(8): |
| 家庭参与式口咽操训练在卒中后吞咽困难患者中的应用及效果评价 |
| Application and evaluation of family integrated oropharyngeal exercises training in patients with post-stroke dysphagia |
| DOI： |
| 中文关键词: 脑卒中 吞咽困难 口咽操 效果评价 |
| 英文关键词: |
| 基金项目:虹口区卫生健康委员会科研项目(虹卫1803-04) |
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| 中文摘要: |
| 目的 探讨家庭参与式口咽操训练在卒中后吞咽困难患者的吞咽功能康复及营养状态改善中的应用及效果评价。方法 选取经洼田饮水试验评估为吞咽困难的脑卒中患者160例，按照随机数字法分为试验组与对照组，每组80例。对照组患者给予常规的吞咽功能训练，试验组给予常规的吞咽功能训练和家庭参与式口咽操训练。2组患者接受30d干预后，对其吞咽功能、吸入性肺炎发生率及营养状态进行评定与分析。结果 干预后，试验组吞咽困难改善情况好于对照组，差异具有统计学意义(P＜0.05)；干预期间试验组吸入性肺炎发生率为11.25%，明显低于对照组(31.25%)，差异具有统计学意义(P＜0.05)；干预后，试验组营养风险评分为(2.74±0.69)，明显低于对照组[(3.04±1.02)]，差异具有统计学意义(P＜0.05)。结论 针对吞咽功能障碍的卒中患者，在常规吞咽功能训练的基础上加用家庭参与式口咽操可有效改善患者吞咽功能，降低吸入性肺炎的发生率，改善营养状态。 |
| 英文摘要: |
| Objective To explore the application and evaluation of family integrated oropharyngeal exercises in the rehabilitation of swallowing function and improvement of nutritional status in patients with post-stroke oropharyngeal dysphagia. Methods 160 patients with first stroke assessed as dysphagia by the Water swallow test were selected and divided into an experimental group and a control group according to the random number method, with 80 cases in each group. After 30 days of intervention, the swallowing function, the incidence of aspiration pneumonia, and the nutritional status of the patients in the two groups were evaluated and analyzed. Results After intervention, the improvement of dysphagia in the experimental group was better than that in the control group, and the difference was statistically significant (P < 0.05). During the intervention period, the incidence of aspiration pneumonia in the experimental group was 11.25%, which was significantly lower than that in the control group (31.25%) (P < 0.05). After intervention, the nutritional risk score of the experimental group was (2.74±0.69), which was significantly lower than that of the control group [(3.04±1.02)], and the difference was statistically significant (P < 0.05). Conclusion For stroke patients with oropharyngeal swallowing dysfunction, family integrated oropharyngeal exercises on the basis of routine swallowing function training could effectively improve the swallowing function, reduce the incidence of aspiration pneumonia and improve nutritional status of the patients with post-stroke oropharyngeal dysphagia. |
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