| 谭慧,纪玉桂,侯玉娟,等.护理干预对大型听神经瘤患者术后吞咽障碍的疗效比效[J].安徽医药,2016,20(12):2375-2377. |
| 护理干预对大型听神经瘤患者术后吞咽障碍的疗效比效 |
| Effect of nursing intervention on postoperative dysphagia of the patients with large acoustic neuromas |
| 投稿时间：2016-06-29 |
| DOI： |
| 中文关键词: 听神经瘤 吞咽障碍 康复护理 |
| 英文关键词: Acoustic neuroma Swallowing disorder Rehabilitative nursing |
| 基金项目: |
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| 摘要点击次数: 2353 |
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| 中文摘要: |
| 目的 探讨大型听神经瘤术后吞咽障碍的护理,以提高术后患者康复效果。方法 对大型听神经瘤术后患者采用吞咽功能评估表(GUSS)进行吞咽功能评估,共筛查出82例存在吞咽障碍患者,按随机数字表法分为观察组41例和对照组 41例,对照组进行常规康复指导,观察组根据吞咽障碍的严重程度进行针对性的康复指导,比较两组患者吞咽障碍疗效、误吸发生率、胃管平均拔管时间。结果 经护理干预后,对照组吞咽障碍疗效显效6例,有效17例,无效18例,观察组吞咽障碍疗效显效11例,有效21例,无效9例,观察组吞咽障碍疗效优于对照组(P=0.031),对照组发生误吸6例,观察组未发生误吸,观察组误吸发生例数少于对照组(P=0.034),对照组胃管平均拔管时间为(9.5±2.06)d,观察组胃管平均拔管时间为(7.9±2.16)d,观察组胃管平均拔管时间少于对照组(P=0.002),差异有统计学意义。结论 使用GUSS评估量表对大型听神经瘤术后患者进行吞咽功能评估,并根据评估结果采取针对性的护理措施,可明显改善患者的吞咽功能,有效降低并发症,防止二次损伤,改善患者的预后。 |
| 英文摘要: |
| Objective To observe the nursing effect of swallowing disorder in patients after acoustic neuroma surgery and to improve the rehabilitation quality.Methods We used Gugging Swallowing Screen (GUSS) to assess the swallowing function of patients who underwent acoustic neuroma surgery.Eighty-two patients were found to have swallowing disorder and were assigned randomly into two groups:specific nursing group (n=41) and control group (n=41).The control group was provided with routine rehabilitation guidance,while the specific nursing group was provided with specific nursing guidance depending on the severity of the patients.The efficacy,aspiration incidence and averaged extubation time of gastric tube were compared between the two groups.Results In control group,6 cases achieved significant effect,17 good effect,and 18 poor effect.In specific nursing group,11 achieved significant effect,21 good effect,and 9 poor effect.The efficacy in specific nursing group was better than that in control group (P=0.031).There was no aspiration in specific nursing group,which was significantly lower than the control group (6 cases,P=0.034).The averaged extubation time of the specific nursing group was significantly shorter than the control group [(7.9±2.16) vs (9.5±2.06) d,P=0.002].Conclusions Our results indicated that specific nursing based on the assessment of Gugging Swallowing Screen (GUSS) can improve patients′ swallowing function,reduce rate of complication,prevent secondary injury,and improve the prognosis of patients who have swallowing disorder after acoustic neuroma surgery. |
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