早期介入冰刺激联合吞咽功能分级护理在脑梗死后吞咽障碍患者中的应用

摘要/Abstract

摘要： 目的探讨脑梗死（Cerebral Infarction,CI）后吞咽障碍患者采用早期介入冰刺激联合吞咽功能分级护理的应用效果。方法选取2022年7月—2023年12月聊城市第三人民医院收治的120例CI后吞咽障碍患者,以随机数表法分成干预组（n=60）与对照组（n=60）,对照组给予常规康复护理,干预组在对照组基础上给予早期介入冰刺激联合吞咽功能分级护理,比较两组吞咽功能、生活质量、并发症。结果干预前,两组标准吞咽功能评价量表（SSA）评分比较,差异无统计学意义（P>0.05）,干预后,两组评分低于干预前,干预组评分低于对照组,差异有统计学意义（P<0.05）;干预前,两组吞咽功能障碍特异性生活质量（SWAL-QOL）评分比较,差异无统计学意义（P>0.05）,干预后,两组评分高于干预前,干预组评分高于对照组,差异有统计学意义（P<0.05）;干预组并发症发生率低于对照组,差异有统计学意义（P<0.05）。结论早期介入冰刺激联合吞咽功能分级护理应用于CI后吞咽障碍患者中,能够提高吞咽功能及生活质量,减少并发症发生。

关键词: 早期介入冰刺激, 吞咽功能分级护理, 脑梗死, 吞咽障碍

Abstract: Objective To explore the application effect of early intervention ice stimulation and graded swallowing function nursing in patients with swallowing disorders after cerebral infarction (CI). Methods A total of 120 patients with CI dysphagia from July 2022 to December 2023 who were admitted in the Third People's Hospital of Liaocheng City were selected, and randomly divided into the intervention group (n=60, routine rehabilitation nursing) and the control group (n=60, early intervention ice stimulation combined with swallowing function grading nursing on the basis of the control group). The swallowing function, quality of life, and complications in both groups were compared. Results Before intervention, there was no statistically significant difference in the standard swallowing function assessment scale (SSA) scores in both groups (P>0.05). After intervention, the scores of in both groups were lower than before intervention, in comparison of the control group, the intervention group was lower, and the difference was statistically significant (P<0.05). Before intervention, there was no statistically significant difference in the swallowing dysfunction specific quality of life (SWAL-QOL) scores in both groups (P>0.05). After intervention, the scores of in both groups were higher than before intervention, in comparison of the control group, the intervention group was higher, and the difference was statistically significant (P<0.05). In the incidence of complications, in comparison of the control group 16.67% (10/60), the intervention group was 3.33% (2/60) was lower, and the difference was statistically significant (P<0.05). Conclusion Early intervention ice stimulation and graded swallowing function nursing can improve swallowing function and quality of life in patients with CI disorders, and reduce the occurrence of complications.

Key words: early intervention ice stimulation, grading nursing swallowing function, cerebral infarction, swallowing disorder

中图分类号:

R473.74

于秀秀, 司丽霞, 刘敏. 早期介入冰刺激联合吞咽功能分级护理在脑梗死后吞咽障碍患者中的应用[J]. 中华养生保健, 2025, 43(3): 15-18.

YU Xiu-xiu, SI Li-xia, LIU Min. Application of Early Intervention Ice Stimulation and Swallowing Function Grading Nursing in Patients with Swallowing Disorders after Cerebral Infarction[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(3): 15-18.

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