| 牟静,李玲,熊光,等.球囊扩张训练式护理对颅脑损伤术后吞咽困难病人环咽肌痉挛的康复作用[J].安徽医药,2019,23(9):1868-1871. |
| 球囊扩张训练式护理对颅脑损伤术后吞咽困难病人环咽肌痉挛的康复作用 |
| Rehabilitation effect of balloon expansion training type nursing on dysphagia pharyngeal muscle spasm in patients with craniocerebral injury postoperative |
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| DOI：10.3969/j.issn.1009-6469.2019.09.045 |
| 中文关键词: 颅脑损伤/并发症 吞咽困难 环咽肌痉挛 球囊扩张训练 护理 |
| 英文关键词: Graniocerebral trauna/complications Difficulty swallowing Ring pharyngeal muscle spasm Balloon expansion training Nursing |
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| 中文摘要: |
| 目的 探讨球囊扩张训练式护理对颅脑损伤术后吞咽困难病人环咽肌痉挛的康复作用。方法 选取2015年1月至2016年10月泸州市人民医院颅脑损伤术后吞咽困难病人88例，采用随机数字表法分为观察组与对照组各44例。两组病人术后均予以常规护理，观察组则在此基础上加用球囊扩张训练。分别对比两组护理效果。结果 护理后观察组可进水、可进食流质物、可进食固体食物、可进食糊状物人数占比分别为79.55%(35/44)、70.45%(31/44)、84.09%(37/44)、72.73%(32/44)，均高于对照组的40.91%(18/44)、38.64%(17/44)、54.55%(24/44)、36.36%(16/44)，均差异有统计学意义(均P＜0.05)。吞咽造影检查(VFSS)评分护理后观察组为(8.87±0.55)分，对照组为(6.41±0.54)分，高于护理前(2.25±0.53)分和(2.23±0.57)分，护理后VFSS评分观察组高于对照组，均差异有统计学意义(均P＜0.05)。观察组护理满意度93.18%，较对照组75.00%高，差异有统计学意义(P＜0.05)。护理后观察组健康调查简表(SF-36)各项指标的得分及总分值均高于对照组，均差异有统计学意义(均P＜0.05)。结论 球囊扩张训练式护理可有效改善颅脑损伤术后吞咽困难病人环咽肌痉挛情况，有利于促进病人的早日康复，提高护理满意度及生活质量。 |
| 英文摘要: |
| Objective To study the rehabilitation effect of balloon expansion training type nursing on dysphagia pharyngeal muscle spasm in patients with craniocerebral injury postoperative.Methods Eighty-eight cases of craniocerebral injury patients with dysphagia in Cangzhou People’s Hospital from January 2015 and October 2016 were collected.According to random number table method，patients were assigned into observation group and the control group with 44 cases in each.Both groups of patients were treated with postoperative routine nursing care.The observation group was given balloon expansion on the basis of the training.The nursing effect was compared between the two groups.Results After nursing，the proportion of people in the observation group who can enter the water，eat liquid，eat solid food，and eat paste were 79.55% (35/44)，70.45% (31/44)，84.09% (37/44)，and 72.73% (32/44)，which were higher than 40.91% (18/44)，40.91% (17/44)，54.55% (24/44) and 36.36% (16/44) of the control group，and the differences were statistical significance (all P＜0.05).After nursing，the videofluoroscopic swallowing study (VFSS) score in the observation group (8.87±0.55) and the control group (6.41±0.54) were higher than (2.25±0.53) of the observation group and (2.23±0.57) of the control group before treatment，and the differences were statistical significance (all P＜0.05).The nursing satisfaction of the observation group (93.18%) was higher than 75.00% of control group，and the difference was statistical significance (P＜0.05).After nursing，the scores and total scores of the indicators in the health survey summary (SF-36) of the observation group were higher than those of the control group，and the differences were statistical significance (all P＜0.05).Conclusion Balloon expansion training type of nursing can effectively improve the condition of ring pharyngeal muscle spasm in craniocerebral injury patients with dysphagia，promote the early recovery of patients，and improve nursing satisfaction and quality of life. |
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