吞咽-摄食干预对脑出血患者吸入性肺部感染的影响研究

发布时间：2018-11-28 19:10

【摘要】：目的探讨吞咽-摄食干预对预防脑出血患者吸入性肺部感染的临床效果。方法选取2014年2月-2016年2月医院收治的脑出血并伴有吞咽困难的患者822例,将所有患者随机分为研究组和对照组,每组411例,对照组使用营养神经、改善循环药物、电刺激和物理治疗等常规治疗,研究组在对照组的基础上增加吞咽-摄食干预,观察两组患者治疗前后吞咽困难程度、治疗疗效、治疗过程中发生吸入性肺部感染的情况,以及吞咽困难程度与吸入性肺部感染的相关性。结果两组患者治疗前吞咽困难程度相差不大,无明显差异,研究组患者治疗后吞咽困难程度较对照组低(P0.05);研究组患者的治疗总有效率为83.21%,对照组为67.64%,两组比较差异有统计学意义(P0.05);研究组患者吸入性肺部感染发生率及感染严重程度评分均较对照组低,两组比较差异有统计学意义(P0.05);两组患者吞咽困难等级与吸入性肺部感染的发生呈正相关(研究组r=0.774,P0.05;对照组r=0.806,P0.05)。结论吞咽-摄食管理能促进脑出血患者吞咽功能的恢复,效果明显,对预防吞咽困难引起的吸入性肺部感染有良好的效果。
[Abstract]:Objective to investigate the clinical effect of swallowing-feeding intervention on the prevention of inhaled pulmonary infection in patients with intracerebral hemorrhage. Methods from February 2014 to February 2016, 822 patients with intracerebral hemorrhage and dysphagia were randomly divided into study group and control group with 411 cases in each group. On the basis of routine therapy such as electrical stimulation and physical therapy, the study group increased swallowing and feeding intervention on the basis of the control group, observed the degree of dysphagia before and after treatment, the curative effect, and the incidence of inhaled pulmonary infection in the course of treatment. And the degree of dysphagia and inhaled pulmonary infection. Results the degree of dysphagia before treatment was not significant difference between the two groups, and the degree of dysphagia in the study group was lower than that in the control group (P0.05). The total effective rate of the patients in the study group was 83.21 and that in the control group was 67.64. The difference between the two groups was statistically significant (P0.05). The incidence of inhaled pulmonary infection and the severity of infection in the study group were lower than those in the control group, and the difference between the two groups was statistically significant (P0.05). The degree of dysphagia in the two groups was positively correlated with the incidence of inhaled pulmonary infection (study group, r 0.774, P 0.05; control group, r = 0.806, P 0.05). Conclusion the swallowing-feeding management can promote the recovery of swallowing function in patients with intracerebral hemorrhage and has a good effect on the prevention of aspiration pulmonary infection caused by dysphagia.
【作者单位】：安康职业技术学院护理学院;西安交通大学护理系;安康市中心医院护理部;
【分类号】：R473

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