| 王 苏,周 楠.不同时间窗多技术联合对脑外伤患者吞咽功能的影响研究[J].中国烧伤创疡杂志,2025,(2):132~135. |
| DOI： |
| 中文关键词: 脑外伤 吞咽功能 吞咽障碍 吞咽训练 中药刺激 穴位按摩 |
| 英文关键词:Traumatic brain injury Swallowing function Dysphagia Swallowing training Traditional Chinese medicine stimulation Acupressure |
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| 中文摘要: |
| 【摘要】 目的 分析探讨不同时间窗中药刺激、 穴位按摩联合吞咽训练对脑外伤患者吞咽功能的影响。方法 选取 2020 年 10 月至 2023 年 10 月南阳医学高等专科学校附属中医院收治的115例脑外伤患者作为研究对象,按照不同干预时间将其分为超早期干预组 (58 例) 和早期干预组 (57例), 超早期干预组患者于入院后 48～72 h内进行中药刺激、穴位按摩及吞咽训练等干预, 早期干预组患者于入院后1～2周进行中药刺激、穴位按摩及吞咽训练等干预,对比两组患者胃管留置时间、吞咽功能障碍情况以及吸入性肺炎等并发症发生情况。结果 超早期干预组患者胃管留置时间明显短于早期干预组 (t = 2.787, P= 0.006); 干预4周后, 超早期干预组患者吞咽功能障碍人数明显少于早期干预组 (χ2 = 4.749, P= 0.029), 标准吞咽功能评价量表评分明显低于早期干预组(t=3.479, P= 0.001); 干预过程中, 超早期干预组患者并发症发生率与早期干预组无明显差异(χ2 = 3.527, P =0.060)。 结论 给予脑外伤患者于入院 48～72 h内进行超早期中药刺激、穴位按摩、吞咽训练,更能有效改善吞咽功能, 缩短胃管留置时间。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the influence of multi-technique interventions in different time windows on swallowing function in patients with traumatic brain injury. Methods 115 patients with traumatic brain injury admitted to Affiliated Hospital of Nanyang Medical College from October 2020 to October 2023 were enrolled as the research subjects and divided into ultra-early intervention group (n = 58) and early intervention group (n=57) according to different intervention time. Patients in the ultra-early intervention group received traditional Chinese medicine stimulation, acupressure, and swallowing training within 48-72 hours after admission, while the early intervention group received the same interventions 1-2 weeks after admission. The duration of gastric catheter indwelling, swallowing dysfunction, and the occurrence of complications including aspiration pneumonia were compared between the two groups. Results The duration of gastric catheter indwelling in the ultra-early intervention group was significantly shorter than that in the early intervention group (t = 2.787,P= 0.006). After 4 weeks of intervention, the number of patients with dysphagia in the ultra-early intervention group was significantly lower than that in the early intervention group (χ2 = 4.749, P= 0.029). The score of the Standardized Swallowing Function Assessment Scale in the ultra-early intervention group was significantly lower than that in the early intervention group (t = 3.479, P = 0.001). There was no significant difference between the two groups in terms of the incidence of complications during the intervention (χ2 = 3.527, P= 0.060). Conclusion Ultra-early traditional Chinese medicine stimulation, acupressure, and swallowing training within 48-72 hours after admission in patients with traumatic brain injury can significantly improve swallowing function and reduce the duration of gastric catheter indwelling. |
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