李蓓 赵悦

摘要：目的：艾灸联合康复护理干预对脑中风并发吞咽功能障碍的效果探析。方法：选取我院2018年6月-2019年6月收治的120例脑中风并发吞咽功能障碍患者作为研究对象，分为观察组和对照组，对照组常规护理，观察组行艾灸联合康复护理干预。结果：对照组护理有效率86.67%，观察组96.67%（P < 0.05）。对照组内患者误吸发生率16.67%，观察组6.67%（P < 0.05）。观察组患者洼田氏试验评分低于对照组，藤岛一郎吞咽疗效评价高于对照组，差异具有统计学意义（P < 0.05）。结论：中风并发吞咽功能障碍患者接受艾灸联合康复护理干预后，可加快患者吞咽功能障碍的恢复，降低误吸发生率，护理效果确切，具有临床价值。

关键词：艾灸;复护理干预;脑中风;吞咽功能障碍

Abstract： Objectives： To investigate the effect of moxibustion combined with rehabilitation nursing intervention on stroke and dysphagia. Methods： A total of 120 patients with stroke and dysphagia who were treated in our hospital from June 2018 to June 2019 were selected as the research objects and divided into observation group and control group. The control group received routine nursing care， and the observation group received moxibustion combined with rehabilitation nursing intervention. Results： The nursing effective rate in the control group was 86.67%， and the observation group was 96.67% （P < 0.05）. The incidence of aspiration was 16.67% in the control group and 6.67% in the observation group （P < 0.05）. The observation group's Watian experimental score was lower than the control group， and Fujishima Ichiro's evaluation of swallowing efficacy was higher than the control group. The difference was statistically significant （P < 0.05）. Conclusions： After the patients with stroke complicated with swallowing dysfunction received moxibustion combined with rehabilitation nursing intervention， the recovery of swallowing dysfunction was accelerated and the incidence of aspiration was reduced. Nursing effect is accurate and has clinical value.

Keywords： Moxibustion; re-nursing intervention; stroke; swallowing dysfunction

一、前言

腦中风即脑卒中，是脑部血管破裂、阻塞引发的脑组织损伤疾病[1]。脑中风患者发病后，以吐字不清晰、头晕、肢体麻木等症状为主要表现，累及呼吸系统、消化系统，其中吞咽功能障碍也是主要症状表现之一，患者发病后正常进食受到影响，增加了误吸风险，不利于术后身体康复[2]。处于这样的情况下，引入艾灸联合康复护理干预的方法，能够对患者吞咽功能障碍产生刺激，加快患者功能康复，锻炼吞咽能力，促进病情的稳定与身体恢复，与常规护理相比较，效果更加显著。因此，本文以我科收治的120例脑中风并发吞咽功能障碍患者为对象，围绕艾灸联合康复护理干预的应用效果展开探索，现做如下报道。

二、资料与方法

（一）一般资料