摘要
目的:探讨呼吸康复对气管切开患者吞咽功能恢复的影响。方法:选取2015年1月-2018年12月入院的病人,将患者按入院顺序随机抽样,分为对照组(n=100)和观察组(n=100)。对照组采用降颅压、静脉加鼻饲营养、定时翻身拍背预防肺部感染、肢体运动康复等治疗,观察组在对照组治疗的基础上加入呼吸康复技术训练,观察两组患者吞咽障碍改善情况以及气管插管拔管时间,肺部感染率。结果:加入呼吸康复技术的患者30天内拔管人数明显增加、吞咽功能明显改善,肺部感染发生率降低,康复效果显著优于对照组(P<0.05),有统计学意义。结论:呼吸康复技术可促进排痰,改善呼吸功能,并能促进患者吞咽障碍问题改善。
Objective To explore the effect of respiratory rehabilitation on the recovery of swallowing function in patients with tracheotomy.Method Patients admitted from January 2015 to December 2018 were randomLy selected and divided into control group(n=100)and observation group(n=100).The control group was treated with reducing intracranial pressure,intravenous feeding,nasal feeding,regular turning over and back slapping to prevent pulmonary infection,and physical rehabilitation.The observation group was treated with respiratory rehabilitation training on the basis of the control group.The improvement of dysphagia,the time of tracheal intubation and extubation,and the rate of pulmonary infection were observed in the two groups.Result The number of patients with extubation and swallowing function were significantly increased within 30 days,the incidence of pulmonary infection was low,and the rehabilitation effect was significantly better than that of the control group(P<0.05)。Conclusion Respiratory rehabilitation technology can promote expectoration,improve respiratory function,and improve dysphagia.
作者
程建苏
李爱霞
于铁生
王永彬
秦玉焕
贾彦迅
Cheng Jiansu;Li Aixia;Yu Tiesheng;Wang Yongbing;Qin Yuhuan;Jia Yanxun(Rehabilitation department of Gucheng County Hospital of Hebei Province1,Hengshui 053000,China.;Department of psychology,Hebei children's Hospital2,Shijiazhuang050031,China.)
出处
《中国社区医师》
2019年第33期29-30,共2页
Chinese Community Doctors
基金
衡水市医学科学研究重点课题计划(2017014010Z)
关键词
呼吸康复技术
重度颅脑损伤
气管切开
吞咽障碍
Respiratory rehabilitation technology
Severe craniocerebral injury
Tracheotomy
Dysphagia
