摘要:
目的 探讨早期康复护理对神经外科手术颅神经损伤所致吞咽困难患者的功能恢复及生活质量的影响.方法 选择神经外科手术的患者,因颅神经损伤而出现吞咽困难98例,采用随机分配法分成研究组50例和对照组48例,对照组给予神经外科手术常规护理,研究组在常规护理的同时施加早期康复护理,采用洼田饮水实验对吞咽困难患者进行评估.结果 研究组与对照组患者治疗后,吞咽功能差异显著(P＜0.05);吞咽困难康复护理后,研究组的总有效率80.0％显著高于对照组41.67％,康复护理前后有效率差异显著(P＜0.05);住院期间研究组与对照组吸入性肺炎发生率差异显著(P＜0.05);研究组和对照组在入院时mRS评分生活质量评分差异不显著(p＞0.05),在经过早期康复护理2周和3个月后差异显著(P＜0.05).结论 对神经外科手术颅神经损伤所导致的吞咽困难患者进行早期的康复护理能够有效改善吞咽功能,降低吸入性肺炎发生率,提高患者手术后的生活质量和生存质量.
Abstract:
Objective To investigate the early rehabilitation nursing on functional recovery and quality of life of dysphagia patients caused by neurosurgery cranial nerve damage.Methods A total of 98 dysphagia patients caused by neurosurgery cranial nerve damage in our hospital were randomly divided into study group (50 cases) and control group (48 cases).The control group received routine care for neurosurgery,and study group was given early rehabilitation nursing based on the control group.Kubota water experiment was used to evaluate severity of dysphagia.Results After treatment,there was significant different in swallowing function and incidence of aspiration pneumonia in two groups (P ＜ 0.05);After the rehabilitation care,the total efficiency of the study group was significantly higher than that of the control group((80％ vs.41.67％,P ＜0.05);There was no significant difference in mRS score in two groups on admission,but significant difference was seen in mRS score after two weeks and three months of early rehabilitation care (P ＜ 0.05).Conclusion Early rehabilitative care could effectively improve the swallowing function and quality of life,reduce the incidence of aspiration pneumonia for dysphagia caused by neurosurgery cranial nerve damage,so it is worthy of clinical practice.
百度学术
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