中国典型病例大全

目的 分析改良式护理对脑卒中合并吞咽障碍患者预防误吸的影响。方法 对2022年1月—2022年12月长春市中医院收治的脑卒中合并吞咽障碍患者78例进行回顾性分析，采用随机数字表法将患者均分两组（各39例），对照组行传统护理，观察组行改良式护理，如个性化饮食调整、吞咽功能训练、体位护理等，分析护理价值。结果 干预前，两组患者营养水平、负性情绪、吞咽障碍、生活质量比较，无统计学差异（P>0.05）；干预后，观察组患者负性情绪、吞咽障碍评分较对照组低（P<0.05）；营养水平、生活质量评分较对照组高（P<0.05）；观察组患者误吸发生率为2.56%，低于对照组的17.95%(P<0.05)。结论 改良式护理可防止误吸，改善营养水平，提升生活质量，为临床护理提供新的思路、方法。

Objective To analyze the effect of modified nursing on preventing aspiration in stroke patients with dysphagia. Methods A retrospective analysis was conducted on 78 patients with stroke and dysphagia in Changchun Hospital of Traditional Chinese Medicine from January 2022 to December 2022. The patients were randomly divided into two groups(39 cases each)by random number table method. The control group was given traditional nursing care, while the observation group received modified nursing care, such as personalized dietary adjustment, swallowing function training, and postural care. The intervention value was analyzed. Results Before the intervention, there was no significant difference in nutritional status, negative emotions, dysphagia, and quality of life between the two groups(P>0.05). After the intervention, the scores of negative emotions and dysphagia in the observation group were lower than those in the control group(P<0.05). The scores of nutritional status and quality of life in the observation group were higher than those in the control group after the intervention(P<0.05). The incidence of aspiration in the observation group was 2.56%, which was lower than 17.95% in the control group(P<0.05). Conclusion Modified nursing can prevent aspiration, improve nutritional levels, and enhance quality of life, providing new ideas and methods for clinical nursing.