目的 评价量化食物稠度对减少脑卒中吞咽障碍患者误吸的效果.方法 用洼田饮水试验筛选某医院神经内科2017年3月-8月收治的脑卒中患者,共选取76例2～3级吞咽障碍的患者作为研究对象,随机分为试验组38例和对照组38例.试验组在常规饮食护理的基础上,采用增稠剂量化食物的稠度,然后给予相应的饮食指导.给予对照组常规饮食护理.结果 试验组发生误吸8例(21.05％),对照组28例(73.68％),两组差异有统计学意义(P＜0.01).结论 采用增稠剂量化食物的稠度可有效减少脑卒中吞咽障碍患者误吸的发生.%Objective To evaluate the effects of quantifying food thickness on reducing aspiration in stroke patients with dysphagia.Methods A total of 76 stroke patients with grade 2 to grade 3 dysphagia hospitalized in department of neurology from March to August,2017,screened by Kubota's drinking water test was recruited and divided randomly into the experimental group(n=38) and the control group(n=38).The patients in the experimental group were treated with conventional dietary nursing and dietary guidance according to the results of quantifying food thickness via thickening agent.The patients in the control group were treated with conventional dietary nursing.Results There were 8 cases (21.05％) occurring aspiration in the experimental group,and there were 28 cases (73.68％) in the control group,and the difference was statistically significant (P＜0.01).Conclusion Quantification of food thickness using thickening agent can effectively reduce the rates of aspiration in stroke patients with dysphagia.
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