吞咽功能筛查在脑卒中后减少患者误吸中的应用价值分析 .pdf

吞咽功能筛查在脑卒中后减少患者误吸中的应用价值分析

林铃芳

【摘要】ObjectiveToanalyzetheinfluenceofswallowingfunction

screeninginreductionofpatientsaspirationaftercerebral

apoplexy.MethodsConvenientselection180patientswithstrokeandwho

acceptedtreatmentsinourhospitalfrom,January,2014toJanuary,2015

werecollected,andthepatientswererandomlydividedintotwogroups:In

thecontrolgroupincluded90patientswereaccordingtotheassessment

ofthepatientcomplainedthatisthereswallowingdisorder,andfollowthe

doctorsadvicetogiventhefoodandcarewhileinthestudygroup

included90patientswhowerescreenedforswallow-ingfunction,and

accordingtotheresultstogiventhetargeteddietnursing.Then,the

incidenceofaspirationofthetwogroupsofpatientswereobservedand

compared.ResultsThescreeningrateofswallowingdysfunctioninthe

studygroupwas53.33%,whichwassignificantlyhigherthanthatinthe

controlgroupof24.44%;Theincidencerateofaspirationinthecontrol

groupwas13.33%,whichwassignificantlylowerthanthatofthecontrol

group(P0.05),andthedifferencewasstatisticallysignificant(

38.89%).ConclusionTheswallowingfunctionscreeningcaneffectively

improvethedetectionrateofswallowingdysfunctioninpatientswith

stroke,andreducethepatientswithaspiration,thusitisworthtobe

promotedinthefurther.%目的：分析吞咽功能筛查对脑卒中后减少患者误吸发

生情况的影响。方法方便收集该院2014年1月—2015年1月间收治的患脑卒中

的180例患者，将其随机分成两组：对照组包含90例患者，按照患者主诉评估有

无吞咽障碍，且遵医嘱给予饮食护理。研究组包含90例患者，均行吞咽功能筛查，

且按照结果给予针对性的饮食护理。观察及比较两组患者的误吸发生情况。结果研

究组患者的吞咽功能障碍筛查率为53.33%，明显高于对照组的24.44%；对照组

患者的误吸发生率为13.33%，明显低于对照组的38.89%，差异有统计学意义

（P0.05）。结论吞咽功能筛查能够有效提高脑卒中患者的吞咽功能障碍检出率，

减少患者误吸，值得进一步推广。

【期刊名称】《中外医疗》

【年(卷),期】2016(035)019

【总页数】3页(P101-102,105)

【关键词】吞咽功能障碍;吞咽功能筛查;脑卒中;误吸

【作者】林铃芳

【作者单位】宁德市医院神经内科，福建宁德352100

【正文语种】中文

【中图分类】R743.3

［Abstract］ObjectiveToanalyzetheinfluenceofswallowingfunction

screeninginreductio