Effects of bedside swallowing therapy on swallowing function and conscious state of stroke patients with disturbance of consciousness in ICU
10.3969/j.issn.1001-1242.2024.12.012
- VernacularTitle:床旁吞咽治疗对ICU的脑卒中伴意识障碍患者吞咽功能及意识状态的疗效观察
- Author:
Naixiao HU
1
;
Zhen WANG
;
Panlin HU
Author Information
1. 中国康复研究中心北京博爱医院听力语言科,北京市,100068
- Publication Type:Journal Article
- Keywords:
ICU;
stroke;
disturbance of consciousness;
bedside swallowing therapy;
the 2-minute frequency of spontaneous swallowing;
simple swallowing provocation test
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(12):1823-1828
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of bedside swallowing therapy on swallowing function and conscious status of stroke patients with disturbance of consciousness in ICU.Method:From June 2021 to September 2023,60 patients with stroke and disturbance of consciousness in ICU were randomly divided into control group(n=30)and observation group(n=30).The control group received clinical treatment in ICU,and the observation group was treated with bedside swallowing therapy on the basis of clinical treatment in ICU for a total of 4 weeks.Swallowing function and state of consciousness were evalu-ated before and after treatment.Result:After treatment,the 2-minute frequency of spontaneous swallowing in the observation group was(1.17±0.99)times,which was higher than that in the control group(0.67±0.84)times,and the difference was statis-tically significant(P＜0.05).After treatment,the positive rate of the first and second steps of simple swallow-ing provocation test in the observation group was 66.7％and 43.3％,respectively,both lower than that of the control group 80％and 56.7％,and the positive rate of the second step of simple swallowing provocation test in the observation group was significantly lower after treatment than before treatment,with statistical signifi-cance(P＜0.05).After treatment,standardized swallowing assessment score of the observation group was signifi-cantly lower than that of the control group,and the difference was statistically significant(P＜0.05).After treatment,the score of glasgow coma scale in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion:Bedside swallowing therapy can improve the swallowing function and conscious state of stroke pa-tients with disturbance of consciousness in ICU.
