摘要
目的 探讨个体化饮食干预方案在老年脑卒中吞咽障碍患者中的应用效果。方法 选取2021年11月至2022年7月南京鼓楼医院集团宿迁医院住院的100例老年脑卒中吞咽障碍患者为研究对象,根据随机数字表法将其分为对照组和试验组,各50例。对照组给予常规饮食护理,试验组采取个体化饮食干预方案。比较两组每天三餐进食过程中,吞咽安全性和有效性相关的症状出现的频率情况。结果 试验组呛咳、发音异常、血氧饱和度降低≥3%的发生率低于对照组,差异有统计学意义(P<0.05)。试验组口咽部食物残留和液体流出发生率低于对照组,差异有统计学意义(P<0.05)。结论 个体化饮食干预方案能够改善老年脑卒中吞咽障碍的临床症状,能有效地降低误吸、口咽部食物残留及液体流出发生率,提升患者吞咽的安全性及有效性。
Objective To explore application effect of individualized diet intervention program in elderly patients with dysphagia after stroke.Methods A total of 100 elderly stroke patients with dysphagia who were hospitalized in the Nanjing Drum Tower Hospital Group Suqian Hospital,from November 2021 to July 2022 were selected as the study objects,according to the random number table method,they were divided into control group and experimental group,with 50 cases in each group.The control group was given routine diet nursing,and the experimental group was given individualized dietary intervention program.The frequency of symptoms related to the swallowing safety and swallowing of ficacy during three meals a day was compared between the two groups.Results The incidence of coughing,abnormal pronunciation,and decrease of blood oxygen saturation of more than 3%in experimental group was lower than that in control group,and the differences were statistically significant(P<0.05).The incidence of oral food residue and fluid outflow in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Individualized dietary intervention program can improve the clinical symptoms of swallowing disorder in elderly stroke patients,effectively reduce the incidence of aspiration,oral food residue,and fluid outflow,and improve the swallowing safety and swallowing efficacy in patients.
作者
孙凤
张涛
王芳
汤先萍
SUN Feng;ZHANG Tao;WANG Fang;TANG Xianping(School of Nursing,Xuzhou Medical University,Jiangsu Province,Xuzhou221004,China;Department of Neurosurgery,Nanjing Drum Tower Hospital Group Suqian Hospital,Jiangsu Province,Suqian223800,China)
出处
《中国医药导报》
CAS
2023年第33期157-161,共5页
China Medical Herald
基金
国家社科基金重大项目(21ZDA103)
江苏省徐州市科技局重点研发项目(KC22299)。
