Application of Fengyoujing stimulation therapy in swallowing rehabilitation of stroke patients
风油精刺激疗法在脑卒中患者吞咽康复的应用

摘要

目的 护理干预使用自制风油精冰棉棒刺激口咽部，改善吞咽功能和口腔卫生，减少误吸，降低吸入性肺炎风险，节省医疗费用，提高患者生存质量。方法 本课题选取2023年9月至2024年2月在本院老年康复科住院治疗的脑卒中患者，使用随机对照试验将60例洼田饮水试验≥3级的脑卒中后吞咽障碍符合条件的患者，分为试验组和对照组。对照组进行常规吞咽康复训练，试验组在此的基础上，基于感觉刺激疗法对患者实施常规吞咽康复训练，记录患者实施干预措施4周后的患者吞咽功能、口腔卫生状况以及吸入性肺炎的发生情况。结果 试验组患者的吞咽功能改善情况优于对照组（P<0.05）。试验组患者的口腔卫生情况好于对照组（P<0.05）。试验组患者吸入性肺炎的发生率低于对照组（P<0.05）。结论 通过护理干预手段，使用自制风油精冰棉棒对患者口咽部进行感觉刺激，可显著提高患者的吞咽能力和口腔的卫生状况，从而减少吸入性肺炎在患者中的发病率，减少非必要的医疗费用，从而提高患者生存质量。

Abstract

Objective To stimulate oropharynx with homemade ice cotton stick, improve swallowing function and oral hygiene, reduce aspiration, reduce aspiration pneumonia risk, save medical costs and improve patients' quality of life.
Methods In this study, stroke patients hospitalized in the geriatric rehabilitation Department of our hospital from September 2023 to February 2024 were selected. A randomized controlled trial was used to divide 60 eligible patients with dysphagia after stroke who were ≥ grade 3 in the Kotian drinking water test into experimental group and control group. The control group received routine swallowing rehabilitation training, and the experimental group received routine swallowing rehabilitation training based on sensory stimulation therapy on the basis of this, and recorded the swallowing function, oral health status and incidence of aspiration pneumonia of the patients after 4 weeks of intervention.
Results The improvement of swallowing function in experimental group was better than that in control group (P<0.05). The oral health condition of experimental group was better than that of control group (P<0.05). The incidence of aspiration pneumonia in experimental group was lower than that in control group (P<0.05).
Conclusion   By means of nursing intervention, the use of self-made wind oil essence ice cotton stick to stimulate the oral pharynx of patients can significantly improve the swallowing ability and oral hygiene of patients, so as to reduce the incidence of aspiration pneumonia in patients, reduce unnecessary medical expenses, and improve the quality of life of patients.