摘要

目的探讨早期综合护理干预在缺血性脑卒中吞咽障碍患者中的应用效果。方法选取2017年5~7月入住安徽省立医院神经内科的45例缺血性脑卒中吞咽障碍患者为观察组,予早期综合护理干预;选取2017年2~4月入院的44例缺血性脑卒中吞咽障碍患者为对照组,予常规护理。干预至患者出院,比较两组患者吞咽功能变化及卒中相关性肺炎(SAP)发生率。结果出院时两组患者吞咽功能相比,差异无统计学意义(Z=-1. 251,P=0. 211),两组患者出院和入院吞咽功能变化情况相比,差异无统计学意义(Zd=-1. 179,P=0. 238)。对照组5例患者发生SAP,观察组无一例发生SAP,两组SAP发生率比较,差异有统计学意义(P=0. 026)。结论早期综合护理干预可降低缺血性脑卒中吞咽障碍患者的SAP发生率,但缓解吞咽障碍的效果尚不显著。

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