| 摘要: |
| 目的：探究中医护理结合康复训练对脑卒中后吞咽困难患者的影响。方法：将110 例脑卒中后吞咽困难患者，按随机数字表法分为2 组，对照组55 例采用中医护理，观察组55 例采用中医护理结合康复训练。对比2 组治疗前后实验室各项指标、脑卒中后电视透视吞咽功能检查（VFSS） 评分、吞咽障碍特异性生活质量量表（SWAL-QOL） 评分、吞咽功能评价量表（SSA） 评分、吞咽功能的变化情况。结果：经过护理，2 组血脂指标较前改善（P＜0.05）。观察组护理后高密度脂蛋白（HDL）较对照组升高，而低密度脂蛋白（LDL）、甘油三酯（TG）、总胆固醇（TC） 低于对照组，差异有统计学意义（P＜0.05）。护理后，2 组VFSS 评分、SWAL-QOL 评分、SSA 评分较前改善（P＜0.05）；观察组护理后VFSS 评分较对照组升高，SWAL-QOL 评分、SSA 评分低于对照组，差异有统计学意义（P＜0.05）。观察组护理后患者吞咽功能总有效率为96.36%，对照组为76.36%，2 组比较，差异有统计学意义（P＜0.05）。结论：中医护理结合康复训练使脑卒中后吞咽困难患者临床症状得到控制，有效改善患者的吞咽功能。 |
| 关键词: 脑卒中 吞咽困难 中医护理 康复训练 脑卒中后电视透视吞咽功能检查评分 吞咽障碍特异性生活质量量表
评分 吞咽功能评价量表评分 |
| DOI： |
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| 基金项目: |
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| Effect of Chinese Medicine Nursing Combined with Rehabilitation Training forDysphagia After Stroke |
| XIE Qiongna,CHEN Shuqiong,YU Jingfang |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract：Objective：To discuss the effect of Chinese medicine nursing combined with rehabilitation training for patients
with dysphagia after stroke. Methods： A total of 110 cases of patients with dysphagia after stroke were divided into two
groups according to the random number table method，55 cases in each group. The control group was treated with Chinese
medicine nursing，and the observation group was additionally treated with rehabilitation training based on the treatment of the
control group. Before and after treatment，the changes in each index in labs，scores of Videofluoroscopic Swallowing Study
(VFSS)，Swallowing Quality- of- Life questionnaire(SWAL- QOL) and Standardized Swallowing Assessment(SSA) as well as
swallowing function in the two groups were compared. Results：After nursing，the serum lipids indexes in the two groups
were improved when compared with those before treatment(P＜0.05). After nursing， the level of high density lipoprotein
(HDL) in the observation group was higher than that in the control group， and the levels of low density lipoprotein(LDL)，
triglyceride(TG) and total cholesterol(TC) were lower，the difference being significant(P＜0.05). After nursing，the scores of
VFSS，SWAL-QOL and SSA in the two groups were improved when compared with those before treatment(P＜0.05)；the
VFSS score in the observation group was higher than that in the control group，and the scores of SWAL-QOL and SSA were
lower，the difference being significant(P＜0.05). After nursing，the total effective rate of swallowing function was 96.36% in
the observation group and 76.36% in the control group， the difference being significant(P＜0.05). Conclusion： Chinese
medicine nursing combined with rehabilitation training can control the clinical symptoms of patients with dysphagia after
stroke，effectively improve their swallowing function. |
| Key words: Keywords： Stroke Dysphagia Chinese medicine nursing Rehabilitation training Videofluoroscopic Swallowing
Study Swallowing Quality-of-Life questionnaire Standardized Swallowing Assessment |
