CAJ | 학술논문

目的：探讨康复护理对脑卒中患者摄食‐吞咽功能恢复的应用效果。方法选取我院收治的158例脑卒中患者作为研究对象，随机分为观察组和对照组各79例，对照组给予常规护理，观察组在对照组的基础上给予康复护理干预。比较2组经摄食‐吞咽功能训练后吞咽障碍程度和不良反应发生情况。结果2组治疗后在摄食‐吞咽障碍程度方面并无明显差异（P＞0.05），而观察组治疗过程中出现误咽、误吸、食管反流以及肺部感染的人数明显少于对照组，差异有统计学意义（P＜0.05）。结论对脑卒中患者摄食‐吞咽功能训练过程中采取相应的康复护理干预，可有效减少患者出现误咽、误吸、食管反流以及肺部感染的发生率，值得临床推广使用。
목적：탐토강복호리대뇌졸중환자섭식‐탄인공능회복적응용효과。방법선취아원수치적158례뇌졸중환자작위연구대상，수궤분위관찰조화대조조각79례，대조조급여상규호리，관찰조재대조조적기출상급여강복호리간예。비교2조경섭식‐탄인공능훈련후탄인장애정도화불량반응발생정황。결과2조치료후재섭식‐탄인장애정도방면병무명현차이（P＞0.05），이관찰조치료과정중출현오인、오흡、식관반류이급폐부감염적인수명현소우대조조，차이유통계학의의（P＜0.05）。결론대뇌졸중환자섭식‐탄인공능훈련과정중채취상응적강복호리간예，가유효감소환자출현오인、오흡、식관반류이급폐부감염적발생솔，치득림상추엄사용。
Objective To comparatively analyze the effect of the rehabilitation nursing intervention on feeding and swallo‐wing function training in stroke patients.Methods 158 cases with stroke treated in our hospital from February 2011 to August 2014 were randomly divided into observation group and control group ,79 cases in each group.Control group was given routine nursing care ,observation group received rehabilitation nursing intervention on basis of the control group. The situation of swal‐lowing disorder and adverse reactions were compared in two groups after feeding‐swallowing functional training. Results The degree of swallowing disorder showed no significant difference in two groups after treatment (P> 0.05) ,while the cases of complications such as deglutition ,aspiration ,esophageal reflux and lung infection in observation group were obviously less than that in the control group (P<0.05).Conclusion Taking relevant rehabilitation nursing intervention in the process of feeding‐swallowing functional training can effectively reduce the occurrence rate of deglutition ,aspiration ,esophageal reflux and the pulmonary infection ,which is worthy of clinical application.