摘要
目的:探讨间歇经口管饲法(intermittent oro-eso phageal tube feeding,IOE)改善脑卒中所致吞咽障碍的临床疗效。方法:将符合标准的150例脑卒中所致吞咽障碍病人分为IOE组(75例)和鼻饲组(75例)。入组病人均给予常规治疗,其中IOE组采用间歇经口进食,鼻饲组采用持续鼻胃管进食。两组患者均比较治疗前、治疗30 d的吞咽功能;两组患者均比较30 d内吸入性肺炎发生率。结果:IOE组30 d吞咽功能改善明显优于鼻饲组,差异有统计学意义(P<0.01),IOE组30 d吸入性肺炎发生率低于鼻饲组,差异有统计学意义(P<0.05)。结论:间歇经口管饲法可以有效改善脑卒中所致吞咽障碍病人的吞咽功能,且能降低吸入性肺炎发生率。
Objective To explore the clinical efficacy of IOE in improving dysphagia caused by stroke.Method 150 patients with dysphagia caused by stroke were divided into IOE group(75 cases)and nasal feeding group(75 cases).The patients were given regular treatment for dementia,in which the IOE group was treated with intermittent oral feeding,and the nasal feeding group was fed with conventional nasal feeding tube.The swallowing function of the two groups were compared before and after 30 days of treatment.The incidence of aspiration pneumonia within 30 days was compared between the two groups.Results The nutritional status of the IOE group were significantly improved(P<0.01).The incidence of 30 d aspiration pneumonia in IOE group was lower than that in nasogastric feeding group(P<0.05).Conclusion IOE can effectively improve the swallowing function of patients with dysphagia caused by stroke and reduce the incidence of aspiration pneumonia.
作者
陈念
王春茹
杨东锋
CHEN Nian;WANG Chun-ru;YANG Dong-feng(Department of Neurology,Ninghe District Hospital of Tianjin,Tianjin 301500,China)
出处
《吉林医学》
CAS
2020年第2期431-433,共3页
Jilin Medical Journal
