Intervention study on the risk of aspiration in ischemic stroke patients with dysphagia using early bedside rehabilitation nursing combined with oral precision care
早期床旁康复护理联合口腔精细化护理对缺血性脑卒中吞咽障碍患者误吸风险的干预研究

摘要

目的 探究早期床旁康复护理联合口腔精细化护理应用于缺血性脑卒中吞咽障碍患者的临床效果。方法 选取2025年1月-2025年12月我院神经内科收治的60例缺血性脑卒中合并吞咽障碍患者为研究对象，采用随机数字表法分为对照组、观察组各30例。对照组实施脑卒中常规护理，观察组在常规护理基础上开展早期床旁康复护理联合口腔精细化护理。对比两组患者干预期间误吸相关并发症发生情况。结果 干预后，观察组患者误吸总发生率显著低于对照组（P<0.05）。结论 针对缺血性脑卒中吞咽障碍患者开展早期床旁康复联合口腔精细化护理，能够有效减少患者呛咳、误吸及吸入性肺炎的发生，临床实用性较强，可推广应用。

Abstract

Objective To explore the clinical effect of early bedside rehabilitation nursing combined with refined oral care in patients with swallowing disorders caused by ischemic stroke.
Methods Sixty patients with ischemic stroke complicated with swallowing disorders admitted to the neurology department of our hospital from January 2025 to December 2025 were selected as the research subjects. They were randomly divided into a control group and an observation group, with 30 cases in each group, using a random number table method. The control group received routine stroke care, while the observation group received early bedside rehabilitation nursing combined with refined oral care on the basis of routine care. Compare the incidence of aspiration related complications between two groups of patients during the intervention period.
Results After intervention, the total incidence of aspiration in the observation group was significantly lower than that in the control group (P<0.05).
Conclusion   Early bedside rehabilitation combined with refined oral care can effectively reduce the occurrence of coughing, aspiration, and aspiration pneumonia in patients with swallowing disorders caused by ischemic stroke. It has strong clinical practicality and can be widely applied.