ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (5): 449-451.doi: 10.3969/j.issn.1674-3865.2019.05.023

• 临床护理 • 上一篇    下一篇

重症病毒性脑炎患儿吞咽障碍早期康复护理的效果观察

吴英英，尚清，张庆梅   

  1. 450000 郑州，河南省儿童医院康复医学科一病区
  • 出版日期:2019-11-01 发布日期:2019-11-08
  • 通讯作者: 尚清，E-mail：sq1965@163.com
  • 作者简介:吴英英（1987-），女，主管护师。研究方向：儿童康复护理

Effect of early rehabilitation nursing on dysphagia in children with severe viral encephalitis

WU Yingying，SHANG Qing，ZHANG Qingmei   

  1. Henan Children's Hospital，Zhengzhou 450000，China
  • Online:2019-11-01 Published:2019-11-08

PDF (PC)

114

摘要：
目的
分析重症病毒性脑炎患儿吞咽障碍早期康复护理的效果。
方法
选择2018年4月至2019年2月河南省儿童医院收治伴吞咽障碍的重症病毒性脑炎患儿110例作为研究对象，根据就诊顺序分成对照组和观察组各55例。对照组实行常规护理，观察组实行早期康复护理，如吞咽能力训练（咽部冷刺激训练、舌肌抗阻训练、唇周肌肉训练、口部运动训练），摄食训练，语言训练，10 d为1个疗程，连续进行3～5个疗程。观察临床总有效率、并发症发生率情况。
结果
1）观察组临床总有效率为98.1%（54/55），显著高于对照,83.6%（46/55），差异有统计学意义（P<0.05）。（2）观察组并发症发生率为3.6%（2/55），低于对照组16.36%（9/55），差异有统计学意义（P<0.05）。
结论
对伴吞咽障碍的重症病毒性脑炎患儿实施早期康复护理，效果显著，建议推广。

关键词: 重症病毒性脑炎, 吞咽障碍, 早期康复护理, 效果

Abstract: Objective
To analyze the effect of early rehabilitation nursing on dysphagia in children with severe viral encephalitis.
Methods
A total of 110 children with severe viral encephalitis with dysphagia treated in the Children's Hospital of Henan Province from April 2018 to February 2019 were included as the research subjects. According to the order of admission, they were divided into 55 cases in the control group and 55 cases in the observation group. The control group received routine nursing, and the observation group was given early rehabilitation nursing, such as swallowing ability training (pharyngeal cold stimulation training, tongue muscle resistance training, lip muscle training, mouth exercise training), feeding training and language training, continuously for 3-5 courses with 10 days as one course. Observe the total clinical effective rate, the incidence of complications, and the satisfaction with nursing services.
Results
(1) The total effective rate of nursing in the observation group was 98.1%(54/55), which was significantly higher than the 83.6%(46/55) in the control group. The difference between the two groups was statistically significant (P<0.05); (2) The incidence rate of the observation group(3.6%,2/55) was lower than that of the control group(16.36%,9/55)(P<0.05). The difference was statistically significant (P<0.05).(3)The satisfaction degree of nursing was 100%(55/55) in the observation group, which was significantly higher than the control group(90.9%,50/55), and the difference was statistically significant(P<0.05).
Conclusion
Early rehabilitation nursing for children with severe viral encephalitis accompanied by dysphagia is effective and worth promoting.

Key words: Severe viral encephalitis, Dysphagia, Early rehabilitation nursing, Effect