| Research Purpose:In this study,through the implementation of electrical stimulation combined with swallowing function training for patients with Post-extubation dysphagia,to investigate the effect of this method on swallowing function and complications in patients with Post-extubation dysphagia.Research Methods:In this study,46 patients with Post-extubation dysphagia after tracheal intubation were selected from a upper first class hospital in Huzhou,Zhejiang Province from December 2019 to December 2020.Patients were numbered according to the order of admission and randomly divided into control group and experimental group,with 23 cases in each group.The control group received swallowing function training in addition to routine nursing,and the experimental group received electrical stimulation on the basis of the control group.Electrical stimulation and swallowing function training once a day for 2 weeks.The Swallowing function of the patients was evaluated by Water Swallowing Test(WST)and Gugging Swallowing Screen(GUSS)at baseline(24~48 hours after extubation)and at the first and second week of intervention.Meanwhile,the cases of aspiration and pneumonia during the intervention were recorded,and the substandard diet after intervention was recorded.SPSS 25.0 software was used to establish the database and analyze the data,the results were statistically significant with P<0.05.Research Results:(1)Comparison of general data of the two groups of patients: among the 46 patients included in this study,there were 28 males(60.87%)and 18 females(39.13%),with an average age of(69.39±11.38)years.There were no significant differences in general demographic data,WST and GUSS score baseline between the two groups(P>0.05),and all of them were comparable.(2)Comparison of WST scores between the two groups: WST scores of the two groups showed a downward trend with the development of intervention.At the first week of intervention,the WST score of the experimental group was(2.74±0.81)lower than that of the control group(3.43±0.79),the difference was statistically significant(P<0.05).At the second week of intervention,the WST score of the experimental group(1.39±0.50)was lower than that of the control group(1.91±0.79),and the difference was statistically significant(P<0.05).The results of repeated measures ANOVA showed that there was a significant difference in WST scores between the control group and the experimental group without considering the time factor(F=5.815,P<0.05).Without considering grouping factors,the WST scores at different time points were significantly different(F=360.347,P<0.05).There was an interaction between grouping effect and time effect(F=4.495,P< 0.05).(3)Comparison of GUSS scores of patients in the two groups: GUSS scores of patients in the two groups increased with the development of intervention.At the first week of intervention,the GUSS score of the experimental group(16.39±1.31)was higher than that of the control group(14.70±2.31),the difference was statistically significant(P<0.05).At the second week of intervention,the GUSS score of the experimental group(18.91±0.95)was higher than that of the control group(17.78±1.35),and the difference was statistically significant(P<0.05).Repeated measurement ANOVA results showed that there was a significant difference in GUSS scores between the control group and the experimental group without considering the time factor(F=5.260,P<0.05).Without considering grouping factors,the difference of GUSS scores at different time points was significant(F=144.802,P<0.05).There was an interaction between grouping effect and time effect(F=3.646,P<0.05).(4)Comparison of the incidence of complications between the two groups: At the first and second week of intervention,there was no significant difference in aspiration and pneumonia between the experimental group and the control group(P>0.05).At the second week of intervention,there was no significant difference in aspiration and pneumonia between the two groups compared with the first week of intervention(P>0.05).After intervention,there was no significant difference in substandard diet between the two groups(P>0.05).Research Conclusion:(1)Swallowing function training and electrical stimulation combined with swallowing function training can both improve the swallowing function of patients with Post-extubation dysphagia.Compared with swallowing function training,electrical stimulation combined with swallowing function training has obvious advantages.(2)There is no difference between electrical stimulation combined with swallowing function training and swallowing function training in reducing complications in patients with Post-extubation dysphagia,which needs to be further explored and verified. |
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