CAJ | 학술논문

目的观察急性脑血管病吞咽障碍患者早期建立人工气道对改善预后的应用效果.方法用吞咽筛选试验将入院的急性脑血管病中有吞咽功能障碍的151例患者,随机分成观察组(气管导管组)和对照组(常规治疗组),观察两组患者吞咽功能障碍改善情况,窒息、吸入性肺炎的发生率、病程、治愈率和死亡率.结果观察组窒息和吸入性肺炎的发生率比对照组明显降低(P＜0.01).2周后,两组患者吞咽功能障碍改善情况无统计学差异,1个月后,观察组死亡2例,对照组死亡12例,具有显著性差异(P＜0.01);观察组吞咽能力恢复也明显高于对照组(P＜0.05).两组住院时间比较有统计学差异(P＜0.01).结论早期经鼻气管插管建立人工气道,加强气道管理以及营养支持的护理干预急性脑血管病后吞咽障碍的患者的预后,能有效降低吸人性肺炎和窒息的发生率,恢复吞咽能力.缩短患者的病程,提高治愈率,降低死亡率.
목적 관찰급성뇌혈관병탄인장애환자조기건립인공기도대개선예후적응용효과.방법 용탄인사선시험장입원적급성뇌혈관병중유탄인공능장애적151례환자,수궤분성관찰조(기관도관조)화대조조(상규치료조),관찰량조환자탄인공능장애개선정황,질식、흡입성폐염적발생솔、병정、치유솔화사망솔.결과 관찰조질식화흡입성폐염적발생솔비대조조명현강저(P＜0.01).2주후,량조환자탄인공능장애개선정황무통계학차이,1개월후,관찰조사망2례,대조조사망12례,구유현저성차이(P＜0.01);관찰조탄인능력회복야명현고우대조조(P＜0.05).량조주원시간비교유통계학차이(P＜0.01).결론 조기경비기관삽관건립인공기도,가강기도관리이급영양지지적호리간예급성뇌혈관병후탄인장애적환자적예후,능유효강저흡인성폐염화질식적발생솔,회복탄인능력.축단환자적병정,제고치유솔,강저사망솔.
Objective To Observe the Evaluating of Application effects of early trachea intubatton in the Patients whith Dysphagia after Cerebral Apoplexy.Methods 151 cases of acute cerebrovascular disease dysphagia patients are tested by swallowing screening,divide them into two groups by random,observation group (endotracheal tube group) and control group (conventional treatment group),observed in patients with swallowing dysfunction to improve the situation,suffocation and the incidence of aspiration pneumonia and mortality.Results After 2 weeks,two groups of patients with swallowing dysfunction were observed no significant difference in the improvement,Asphyxia and the observation group the incidence of aspiration pneumonia was significantly lower than the control group ( P ＜ 0.01 ),Observation group,2 patients died,Control group,12 patients died,Significant difference (P ＜0.01 ).One month later,Observation group was significantly higher cure rate ( P ＜ 0.05) ; Ability to restore the observation group was significantly higher in swallowing ( P ＜ 0.05 ).Conclusions Dysphagia after acute cerebrovascular disease in patients with early nasal intubation trachea intubatton,Strengthen the management of airway care and nutritional support,reduce aspiration pneumonia and the incidence of asphyxia effectively,Shorten the course of disease,raise the cure rate.