[1]都静,李佳.中医特色整体护理结合康复训练对脑卒中后吞咽困难患者的影响[J].西部中医药,2019,32(02):132-134.
　DU Jing,LI Jia.Influence of TCM - featured Holistic Nursing Combined with Rehabilitation Training on Dysphagia in Post-stroke Patients[J].Western Journal of Traditional Chinese Medicine,2019,32(02):132-134.
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中医特色整体护理结合康复训练对脑卒中后吞咽困难患者的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年02期
页码:
132-134
栏目:
出版日期:
2019-02-15

文章信息/Info

Title:
Influence of TCM - featured Holistic Nursing Combined with Rehabilitation Training on Dysphagia in Post-stroke Patients
文章编号:
1004-6852(2019)02-0132-03
作者:
都静1,李佳2
1 都江堰市人民医院康复医学科,四川 都江堰 611830； 2 四川省人民医院康复医学科
Author(s):
DU Jing1, LI Jia2
1 Rehabilitation Medicine Department, Dujiangyan Medical Center, Dujiangyan 611830, China; 2 Rehabilitation Medicine Department, Sichuan Provincial People′s Hospital
关键词:
吞咽困难; 脑卒中; 中医特色整体护理; 康复训练; 症状评分; 并发症
Keywords:
dysphagia;  stroke;  TCM - featured holistic nursing;  rehabilitation nursing;  symptom scores;  complications
分类号:
R248
文献标志码:
B
摘要:
目的：探讨中医特色整体护理结合康复训练对脑卒中后吞咽困难患者治疗效果的影响。方法：将95例患者根据干预方法的不同分为2组。对照组47例，给予常规康复训练，观察组48例在对照组的基础上给予中医特色整体护理。干预1个月后，比较2组治疗效果，干预前后症状评分、饮水试验功能评分、反复唾液吞咽试验次数、吞咽X线电视透视检查(VFSS)评分、改良Barthel 指数(MBI)，护理满意率及并发症发生率。结果：总有效率观察组为93.75%，对照组为76.60%，2组比较差异有统计学意义(P＜0.05)。症状评分、饮水试验功能评分、反复唾液吞咽试验次数、VFSS评分、MBI指数及FIM评分治疗前后2组组内比较，差异有统计学意义(P＜0.05)；治疗后2组组间比较差异也有统计学意义(P＜0.05)。观察组护理满意率为93.75%，并发症发生率为8.33%；观察组护理满意率为78.72%，并发症发生率为27.66%，2组比较差异均有统计学意义(P＜0.05)。结论：中医特色整体护理结合康复训练可有效改善患者吞咽困难症状，患者满意率较高，并发症少。
Abstract:
Objective：To explore the effects of TCM - featured holistic nursing joined with rehabilitation training on therapeutic effects for dysphagia in post-stroke patients. Methods: According to intervention methods, 95 patients were assigned into two groups. All 47 cases of the control group accepted conventional rehabilitation training, 48 cases of the observation group received TCM - featured holistic nursing on the basis of the therapy the control group accepted, after intervened for one month, to compared therapeutic effects, symptom scores before and after intervention, the scores of drinking test, the times of repeate salivary swallowing test, VFSS scores, modified Barthel index (MBI), nursing satisfaction degree and the incidence of the complications. Results: Total effective rate of the observation group was 93.75%, higher than 76.60% of the control group, and the difference showed statistical meaning(P＜0.05). The difference was statistically significant in the comparisons of symptom scores, the scores of drinking test, the times of repeated salivary swallowing test, VFSS scores, MBI and FIM scores within two groups before and after treating (P＜0.05); the difference had statistical meaning in the comparisons between both groups after treating(P＜0.05). Nursing satisfaction degree of the observation group was 93.75%, the incidence of complications was 8.33%; higher than 78.72% and 27.66% of the control group, and there were the significant differences(P＜0.05). Conclusion: TCM - featured holistic nursing joined with rehabilitation training could effectively improve the symptoms of dysphagia in post-stroke patients with higher satisfaction degree and fewer complications.

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备注/Memo

备注/Memo:
收稿日期：2018-05-20 作者简介：都静(1979—)，女，主管护师。研究方向：神经康复及骨科康复护理。
更新日期/Last Update: 2019-02-15