脑出血患者术后早期吞咽障碍筛查及康复护理

摘要

Objective To evaluate the effect of dysphagia screening and rehabilitation nursing of cerebral hemorrhage patients in postoperative early stage. Methods Forty cerebral hemorrhage patients in postoperative early stage were assessed with the Gugging Swallowing Screen (GUSS), and patients with dysphagia received diet guidance and rehabilitation nursing. Results Twenty-four patients suffered dysphagia and 13 patients recovered after rehabilitation nursing. According to the score of Glasgow Coma Scale, 13 patients were discharged with good recovery, 19 patients with mild disability and 8 patients with severe disability. No patient died of complications such as pneumonia or malnutrition. Conclusion Early dysphagia screening and rehabilitation nursing can effectively improve the outcomes of patients with cerebral hemorrhage.%目的 探讨早期吞咽障碍筛查及康复护理对高血压脑出血患者的影响.方法 对40例脑出血并行手术治疗的患者采用Gugging吞咽功能评估表(Gugging Swallowing Screen,GUSS)进行评估,并对存在吞咽障碍的患者进行相应的饮食指导及康复训练.结果 24例存在吞咽障碍,经过康复训练,出院时存在吞咽障碍的患者为11例.出院时按格拉斯哥预后评分,5级恢复良好者13例,4级轻度残疾19例,3级重度残疾8例.未因肺炎、营养不良等并发症导致死亡.结论 术后早期进行GUSS吞咽障碍筛查及康复护理,可有效改善脑出血患者的预后.