中医综合护理联合吞咽训练干预脑卒中后吞咽功能障碍临床研究
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R743.3;R248

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Clinical Study on Chinese Medicine Comprehensive Nursing Combined with Swallowing Training in the Intervention of Swallowing Dysfunction After Stroke
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    摘要:

    目的:观察中医综合护理联合吞咽训练干预脑卒中后吞咽功能障碍 (SD) 的临床效果。方法:选取 86 例脑卒中后SD 患者,按随机数字表法分为对照组与观察组各 43 例。对照组给予吞咽训练治疗,观察组在对照组基础上实施中医综合护理, 2 组均干预 4 周。比较 2 组吞咽功能、生活质量的改善效果及并发症发生率。结果:干预后,观察组总有效率为 93.02%,对照组总有效率为 76.74%,2 组比较,差异有统计学意义(P<0.05)。干预后,2 组中文版吞咽功能评估量表(GUSS)评分均较干预前升高 (P<0.05),标准吞咽功能评价量表 (SSA) 评分均较干预前降低 (P<0.05);观察组 GUSS 评分高于对照组 (P< 0.05),SSA 评分低于对照组(P<0.05)。观察组并发症发生率为 4.65%,对照组并发症发生率为 18.60%,2 组比较,差异有统计学意义 (P<0.05)。干预后,2 组脑卒中专用生活质量量表 (SS-QOL) 及吞咽障碍特异性生活质量量表 (SWAL-QOL) 评分均较干预前升高(P<0.05),观察组 SS-QOL、SWAL-QOL 评分均高于对照组(P<0.05)。结论:中医综合护理联合吞咽训练可有效改善脑卒中后 SD 患者的吞咽功能,降低并发症发生率,提高其生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of Chinese medicine comprehensive nursing combined with swallowing training on the intervention of swallowing dysfunction(SD) after stroke. Methods:A total of 86 SD patients after stroke were selected and divided into the control group and the observation group according to the random number table method,43 cases in each group. The control group was given swallowing training treatment,and the observation group was additionally given Chinese medicine comprehensive nursing based on the treatment of the control group. The two groups were intervened for four weeks. The improvement of swallowing function and quality of life,and the incidence of complications were compared between the two groups. Results:After intervention,the total effective rate was 93.02% in the observation group and 76.74% in the control group,the difference being significant(P<0.05). After intervention,the scores of Chinese version of Gugging Swallowing Screen(GUSS) in both groups were increased when compared with those before intervention (P<0.05),and the scores of Standardized Swallowing Assessment(SSA) were decreased when compared with those before intervention(P<0.05). The GUSS score in the observation group was higher than that in the control group(P<0.05),and SSA score was lower than that in the control group(P<0.05). The total incidence of complications was 4.65% in the observation group and 18.60% in the control group , the difference being significant(P < 0.05). After intervention , the scores of the Stroke- Specific Quality of Life(SS- QOL) and the Swallowing- Quality of Life(SWAL- QOL) in the two groups were all increased when compared with those before intervention(P < 0.05). The scores of SS-QOL and SWAL-QOL in the observation group were higher than those in the control group(P<0.05). Conclusion: The therapy of Chinese medicine comprehensive nursing combined with swallowing training can effectively improve the swallowing function of SD patients after stroke,reduce the incidence of complications,and improve their quality of life.

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吴琴.中医综合护理联合吞咽训练干预脑卒中后吞咽功能障碍临床研究[J].新中医,2021,53(1):138-142

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  • 在线发布日期: 2021-01-11
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