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目的选取70例探讨不同床边吞咽障碍筛查量表对急性脑卒中患者相关性吸入性肺炎发生率的影响。方法选取2016年1月~2016年11月70例急性脑卒中伴吞咽障碍的患者,随机分为两组,一组将采用临床上改良版的吞咽障碍筛查量表,另一组对照组将采用一般性的吞咽障碍筛查量表(常规问诊+洼田饮水试验)。结果 40例患者吞咽障碍改良组的筛查率为36.25%,对照组吞咽障碍患者的筛查率为21.05%,两组比较,差异具有统计学意义(P<0.05);吞咽障碍患者改良版的相关性吸入性肺炎发生率为0.00%,对照组为常规吞咽障碍患者的相关性吸入性肺炎发生率为3.94%,两组比较,差异具有统计学意义(P<0.05)。结论临床上改良版吞咽障碍筛查量表明显提高了急性脑卒中患者的筛查率,能有效的降低了相关性吸入性肺炎的发生率,值得在临床上广泛推广及应用。
Objective To investigate the influence of different bedside swallowing screening scales on the incidence of asymptomatic pneumonia in acute stroke patients. Methods Seventy patients with acute stroke and swallowing disorder from January 2016 to November 2016 were randomly divided into two groups. One group was to adopt a clinically modified version of the screening table for swallowing disorders, and the other group was General dysphagia screening scale (routine consultation + Kubota drinking water test). Results The screening rate of swallowing disorders improved group was 36.25% in 40 cases and 21.05% in control group. There was significant difference between the two groups (P <0.05). The improved version of swallowing disorders The incidence of related aspiration pneumonia was 0.00%, while the incidence of related aspiration pneumonia in control group was 3.94%. There was significant difference between the two groups (P <0.05). Conclusion The clinical screening table of swallowing disorder improved significantly the screening rate of patients with acute stroke, which can effectively reduce the incidence of related aspiration pneumonia, which is worth widely popularized and applied clinically.