Ai Dannan, Gu Yifang, Xu Sumin
Emergency Department, The First Affiliated Hospital of Soochow University, Suzhou, China.
Interventional Department, The First Affiliated Hospital of Soochow University, Suzhou, China.
Evid Based Complement Alternat Med. 2022 Jun 21;2022:5949760. doi: 10.1155/2022/5949760. eCollection 2022.
The aim of this study was to assess the effectiveness of multidisciplinary nursing based on fever, blood sugar, and swallowing function management in patients with acute stroke (AS).
A total of 200 AS patients who were treated in our hospital from January 2016 to January 2020 were recruited and randomized at a ratio of 1 : 1 into a control group and a study group. The control group received standardized early rehabilitation nursing, and the study group received multidisciplinary nursing based on fever, blood sugar, and swallowing function management plus standardized early rehabilitation nursing. The patients were also assigned different blood glucose levels upon admission to a high blood glucose group or a normal blood glucose group. The clinical endpoint is clinical efficacy.
Multidisciplinary nursing resulted in better clinical outcomes and treatment efficiency in the patients in the study group versus standardized early rehabilitation nursing. When compared with the control group, the patients in the study group showed lower National Institute of Health Stroke Scale (NIHSS) scores, higher Barthel Index (BI) scores, lower fasting blood glucose levels and body temperature 24 hours after admission, a lower incidence of swallowing dysfunction and aspiration pneumonia 30 days after nursing, and lower C-reactive Protein (CRP) levels 7 days after nursing. The NIHSS scores of the high blood glucose group were significantly higher than those of the normal blood glucose group.
Multidisciplinary nursing based on fever, blood sugar, and swallowing function management for patients with AS improves the clinical outcome and treatment efficiency, restores the swallowing function and blood glucose level, and ameliorates the long-term prognosis of patients.
本研究旨在评估基于发热、血糖及吞咽功能管理的多学科护理对急性脑卒中（AS）患者的有效性。
选取2016年1月至2020年1月在我院接受治疗的200例AS患者，按1∶1比例随机分为对照组和研究组。对照组接受标准化早期康复护理，研究组在标准化早期康复护理基础上接受基于发热、血糖及吞咽功能管理的多学科护理。患者入院时还根据血糖水平分为高血糖组和正常血糖组。临床终点为临床疗效。
与标准化早期康复护理相比，多学科护理使研究组患者获得了更好的临床结局和治疗效率。与对照组相比，研究组患者入院24小时后美国国立卫生研究院卒中量表（NIHSS）评分更低、巴氏指数（BI）评分更高、空腹血糖水平和体温更低，护理30天后吞咽功能障碍和吸入性肺炎发生率更低，护理7天后C反应蛋白（CRP）水平更低。高血糖组的NIHSS评分显著高于正常血糖组。
对AS患者实施基于发热、血糖及吞咽功能管理的多学科护理可改善临床结局和治疗效率，恢复吞咽功能和血糖水平，改善患者远期预后。
