Effect comparison of different nursing methods on swallowing function of patients with stroke coma
10.3760/cma.j.issn.1674-2907.2016.17.018
- VernacularTitle:不同护理方法对脑卒中昏迷患者吞咽功能影响的比较
- Author:
Chao WU
1
;
Meifen SHEN
;
Lan XU
;
Haiying ZHANG
;
Binbin MEI
Author Information
1. 215006 苏州大学附属第一医院神经外科
- Keywords:
Stroke;
Swallowing function;
Cold stimulation;
Chili sauce
- From:
Chinese Journal of Modern Nursing
2016;22(17):2438-2441
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of pharyngeal chili sauce and cold stimulation on swallowing function of patients with stroke coma.Methods A total of 93 patients with stroke coma were included and randomly divided into three groups.The oral nursing and glossopharyngeal massage were performed in control group (n =30).The oral nursing and cold stimulation were performed in cold stimulation group (n =32).The oral nursing and chili sauce stimulation were performed in chili sauce stimulation group (n =31).The swallowing movement,duration of tracheotomy and incidence of stroke-associated pneumonia were compared among three groups.Results Ten minutes after oral nursing,the swallowing frequency in control group,cold stimulation group and chili sauce stimulation group was (21.09 ±9.16),(34.16 ±20.43)and (49.31 ±25.17), respectively.The difference was statistically significant (F =12.962,P <0.05).The duration of tracheotomy in control group,cold stimulation group and chili sauce stimulation group was (37.60 ±13.42)d,(29.19 ±8.24)d and (22.04 ±8.23)d,respectively.The difference was statistically significant (F =12.639,P <0.05).The incidence of stroke-associated pneumonia in three groups was 43.33%,37.50% and 35.48%,respectively. there was no significant difference among three groups (χ2 =0.616,P >0.05).Conclusions Both pharyngeal chili sauce and cold stimulation can improve swallowing function of patients with stroke coma.The pharyngeal chili sauce stimulation can stimulate swallowing movement for a longer time to help the recovery of swallowing function,and can shorten the duration of tracheotomy.
