洼田饮水试验联合吞咽训练对脑梗死吞咽障碍患者治疗效果的影响

摘要

目的 探讨洼田饮水试验联合吞咽训练对脑梗死吞咽障碍患者的治疗效果.方法 将本科室68例脑梗死吞咽功能障碍的患者随机平均分为观察组和对照组.对照组给予常规护理,观察组在对照组的基础上通过洼田饮水试验指导饮食,并进行系统的吞咽功能训练.比较2组干预1个月后的治疗效果、摄食情况以及VSD量表评分的变化.结果 观察组干预后的洼田饮水试验评分低于对照组,吞咽功能改善的总有效率高于对照组,差异均有统计学意义(P＜0.05).观察组干预后的FOIS分级高于对照组,VSD量表评分低于对照组,差异均有统计学意义(P＜0.05).结论 洼田饮水试验联合吞咽训练能够有效改善脑梗死吞咽障碍患者的吞咽功能,有利于患者的正常饮食的摄入.%Objective To explore the therapeutic effect of drinking water test combined with swallowing training on cerebral infarction patients with dysphagia.Methods A total of 68 cerebral infarction patients with dysphagia in our department were randomly divided into observation group and control group.The control group was given routine nursing,while the observation group was given drinking water test to guide diet,and systemic swallowing function training on the basis of the control group.The therapeutic effects,feeding conditions and VSD scale scores were compared after 1 month of intervention between the two groups.Results The drinking water test score in the observation group was lower than that in the control group,and the total effective rate of the swallowing function improvement was higher than that in the control group,the differences were statistically significant (P ＜ 0.05).The FOIS score in the observation group was higher,and the score of VSD scale was lower than that in the control group,the differences were statistically significant (P ＜ 0.05).Conclusion Drinking water test combined with swallowing training can effectively improve the swallowing function of patients with dysphagia after cerebral infarction,and is beneficial to the normal diet of the patients.