实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2014年
4期
110-112
,共3页
病毒性脑炎%护理干预%早期功能训练%吞咽功能
病毒性腦炎%護理榦預%早期功能訓練%吞嚥功能
병독성뇌염%호리간예%조기공능훈련%탄인공능
viral encephalitis%nursing intervention%early functional training%swallowing function
目的：探讨早期护理干预对伴有吞咽功能障碍的病毒性脑炎患儿康复的影响。方法将76例伴有吞咽功能障碍的病毒性脑炎患儿按随机数字表法分为对照组和观察组，每组38例。对照组实施常规治疗和护理，观察组在对照组治疗和护理的基础上对患儿进行早期吞咽功能训练。观察2组患儿护理干预3、6个月后，吞咽功能恢复情况和6个月内的吸入性肺炎发生情况。结果经治疗和护理干预3、6个月后，观察组总有效率分别为60.52%、94.74%，对照组总有效率分别为15.79%、28.94%，观察组明显高于对照组（均P＜0.05）。观察组6个月内吸入性肺炎的发生率为15.79%，明显低于对照组的52.63%（P＜0.05）。结论早期的吞咽功能训练和护理干预，可显著提高伴有吞咽功能障碍的病毒性脑炎患儿的吞咽功能，预防吸入性肺炎的发生。
目的：探討早期護理榦預對伴有吞嚥功能障礙的病毒性腦炎患兒康複的影響。方法將76例伴有吞嚥功能障礙的病毒性腦炎患兒按隨機數字錶法分為對照組和觀察組，每組38例。對照組實施常規治療和護理，觀察組在對照組治療和護理的基礎上對患兒進行早期吞嚥功能訓練。觀察2組患兒護理榦預3、6箇月後，吞嚥功能恢複情況和6箇月內的吸入性肺炎髮生情況。結果經治療和護理榦預3、6箇月後，觀察組總有效率分彆為60.52%、94.74%，對照組總有效率分彆為15.79%、28.94%，觀察組明顯高于對照組（均P＜0.05）。觀察組6箇月內吸入性肺炎的髮生率為15.79%，明顯低于對照組的52.63%（P＜0.05）。結論早期的吞嚥功能訓練和護理榦預，可顯著提高伴有吞嚥功能障礙的病毒性腦炎患兒的吞嚥功能，預防吸入性肺炎的髮生。
목적：탐토조기호리간예대반유탄인공능장애적병독성뇌염환인강복적영향。방법장76례반유탄인공능장애적병독성뇌염환인안수궤수자표법분위대조조화관찰조，매조38례。대조조실시상규치료화호리，관찰조재대조조치료화호리적기출상대환인진행조기탄인공능훈련。관찰2조환인호리간예3、6개월후，탄인공능회복정황화6개월내적흡입성폐염발생정황。결과경치료화호리간예3、6개월후，관찰조총유효솔분별위60.52%、94.74%，대조조총유효솔분별위15.79%、28.94%，관찰조명현고우대조조（균P＜0.05）。관찰조6개월내흡입성폐염적발생솔위15.79%，명현저우대조조적52.63%（P＜0.05）。결론조기적탄인공능훈련화호리간예，가현저제고반유탄인공능장애적병독성뇌염환인적탄인공능，예방흡입성폐염적발생。
Objective To investigate the influence of early nursing intervention on the recovery of viral encephalitis children with swallowing dysfunction.Methods Seventy-six viral encephalitis chil-dren with swallowing dysfunction were randomly divided into two groups,with 38 patients in each group. Patients in control group received conventional therapy and nursing. On this basis,patients in observation group received early swallowing functional training. The recovery of swallowing function was observed after treatment and nursing intervention for 3 and 6 months.The incidence of aspiration pneu-monia was recorded within 6 months. Results After treatment and nursing intervention for 3 and 6 months,the total effective rates were,respectively, 60.52% and 94.74% in observation group, and 15.79% and 28.94% in control group.There were significant differences in the total effective rate betw-een the two groups(all P<0.05). In addition,the incidence of aspiration pneumonia in observation group was significantly lower than that in control group(15.79%vs 52.63%,P<0.05).Conclusion Early swall-owing function training and nursing intervention can significantly improve the swallowing function and prevent the occurrence of aspiration pneumonia in viral encephalitis children with swallowing dysfunction.
