简介：摘要目的探讨营养支持对老年急性脑卒中患者预后的影响.方法选取我院２０１４年３月－２０１５年３月我院神经内科收治的老年急性脑卒中患者１０４例,随机分为观察组和对照组各５２例,对照组实施神经内科常规治疗和护理,观察组此基础上进行早期肠内营养.比较两组患者上肢中臂肌围(AMC)、血清白蛋白(Alb)、血红蛋白(Hb)等各项营养指标、感染发生率及神经功能缺损程度(NIHSS评分).结果观察组患者上肢中臂肌围(AMC)、血清白蛋白(Alb)、血红蛋白(Hb)等各项营养指标均高于对照组(P＜０．０５),观察组患者感染发生率低于对照组(P＜０．０５),观察组神经功能全损程度低于对照组(P＜０．０５).结论营养支持能够有效提高老年急性脑卒中患者的营养水平,降低感染发生率,促进患者神经功能恢复,值得临床上推广应用.关键词老年患者;营养支持;急性脑卒中;预后InfluenceofNutritionalSupport’sontheprognosisofElderlyAcuteStrokePatientsAbstractobjectiveToexploreinfluenceofNutritionalSupport’sontheprognosisofElderlyacuteStrokePatients．MethodsCollect１０４casesofelderlyaＧcutestrokepatientsinourhospitalfromMarch２０１４toMarch２０１５,randomlydividedthemintoobservationgroupandcontrolgroup(n＝５２)．Patientsincontrolgroupweretreatedbyroutinetreatmentandnursing,Patientsinobservationgroupwereearlytreatedbyenteralnutrition．CompareupperarmmusclecircumferＧence(AMC),serumalbumin(propagated),hemoglobin(Hb),othernutritionindicators,infectionrateanddegreeofnervefunctiondefect(NIHSSscore)ofpatientsintwogroups．ResultsUpperarmmusclecircumference(AMC),serumalbumin(propagated),hemoglobin(Hb)andothernutritionofpatientsintobservationgroupwerehigherthanthoseofcontrolgroup(P＜０．０５),incidenceofinfectionofpatientsinobservationgroupwaslowerthancontrolgroup(P＜０．０５),nervefunctionofpatientsinobservationwerebetterthanthecontrolgroup(P＜０．０５)．ConclusionNutritionalsupportcaneffectivelyimprovenutritionallevelofelderlyacutesKteryokweorPdastients,reducetheincidenceofinfection,promotepatients’nervefunctionalrecovery,itisworthyofclinicalapplication．Elderlypatients;Nutritionalsupport;AcuteStroke;Prognosis中图分类号R４７３文献标识码A文章编号１００８－６３１５(２０１５)１２－１０７９－０２

简介：摘要目的探讨康复护理在改善脑卒中患者吞咽功能中的应用效果.方法选取我院２０１４年５月－２０１５年５月脑卒中后吞咽能力障碍患者８６例,随机分为观察组和对照组各４３例,对照组患者进行常规护理,观察组患者在一般常规护理基础上采取康复护理,比较两组患者康复吞咽功能的改善效果.结果观察组患者的总有效率显著高于对照组,差异有统计学意义(P＜０．０５).结论对脑卒中患者采用康复护理能显著改善其吞咽功能,值得在临床推广应用.关键词脑卒中;康复护理;吞咽功能;ApplicationofRehabilitationNursingtoImproveSwallowingFunctioninStrokePatientsAbstractobjectiveToexploretheeffectofrehabilitationnursingtoimproveswallowingfunctioninstrokepatients．MethodsCollect８６casesofstrokepaＧtientswithdysphasiainourhospitalfromMay２０１４toMay２０１５,randomlydividedthemintoobservationgroupandcontrolgroup,patientsincontrolgroupweretreatedbyroutinenursing,patientsinobservationgroupweretreatedbyrehabilitationnursing,swallowingfunctionoftwogroupswerecompared．ResultsthetoＧtaleffectiverateoofpatientsinobservationgroupissignificantlyhigherthanthecontrolgroup,thedifferencewasstatisticallysignificant(P＜０．０５)．ConclusionRehabiKlietyatiwoonrdnsursingcansignificantlyimproveswallowingfunctionofstrokepatients,itisworthpopularizinginclinicalapplication．Stroke;Rehabilitationnursing;Swallowingfunction中图分类号R４７３文献标识码A文章编号１００８－６３１５(２０１５)１２－１４０７－０１