吞咽功能评估表联合康复锻炼对脑卒中吞咽障碍患者肺部感染的影响

发布时间：2018-03-05 01:24

本文选题：吞咽功能评估表　切入点：康复锻炼　出处：《中华医院感染学杂志》2017年21期 　论文类型：期刊论文

【摘要】：目的探讨吞咽功能评估表联合康复锻炼对脑卒中吞咽障碍患者肺部感染的影响。方法选取2013年6月-2016年6月在医院神经科住院治疗的脑卒中合并吞咽功能障碍的患者158例作为研究对象,根据随机数字表法将患者分为传统治疗组和联合治疗组,每组79例,传统治疗组给予常规干预,联合治疗组给予吞咽功能评估表联合康复锻炼,干预一个月后,比较两组患者的肺部感染率,病原菌分布,吞咽功能评价,生活质量和满意度。结果联合治疗组患者的感染率低于传统治疗组,17例感染患者共检出病原菌22株,以革兰阴性菌为主占63.6%,革兰阳性菌占31.8%,真菌占4.5%;联合治疗组患者的治愈例数和有效率均显著高于传统治疗组,差异有统计学意义(P0.05);联合治疗组患者生理领域、环境领域、心理领域、社会领域以及生存质量总分均高于传统治疗组,差异有统计学意义(P0.05)。结论将吞咽功能评估表联合康复锻炼应用于脑卒中合并吞咽功能障碍的患者中可以降低肺部感染率,改善吞咽功能障碍,提高生存质量。
[Abstract]:Objective to investigate the effect of swallowing function assessment form combined with rehabilitation exercise on pulmonary infection in stroke patients with dysphagia. Methods Stroke patients with dysphagia who were hospitalized in neurology department from June 2013 to June 2016 were selected from June 2013 to June 2016. 158 patients were included in the study. According to the method of random number table, the patients were divided into traditional treatment group and combined treatment group with 79 cases in each group. The traditional treatment group was given routine intervention, and the combined treatment group was given combined rehabilitation exercise with swallowing function assessment form. After one month of intervention, the patients in the combined treatment group were treated with routine intervention. The pulmonary infection rate, pathogen distribution, swallowing function evaluation, quality of life and satisfaction were compared between the two groups. Results the infection rate in the combined treatment group was lower than that in the traditional treatment group. Gram-negative bacteria accounted for 63.6%, Gram-positive bacteria 31.8% and fungi 4.5%. The number of cured cases and the effective rate in the combined treatment group were significantly higher than those in the traditional treatment group, the difference was statistically significant (P 0.05); the physiological field and environment field of the patients in the combined treatment group were significantly higher than those in the traditional treatment group. The total scores of psychological, social and quality of life were higher than those of the traditional treatment group. Conclusion the application of swallowing function assessment form combined with rehabilitation exercise in stroke patients with dysphagia can reduce the pulmonary infection rate, improve the swallowing dysfunction and improve the quality of life.
【作者单位】：北京大学第一医院神经内科;
【分类号】：R473.74

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