摘要
目的:分析间歇性经口至食管管饲胃肠营养联合预判性护理应用于脑卒中吞咽障碍患者的效果。方法:选取2020年1月—2023年3月上海市徐汇区大华医院收治的脑卒中吞咽障碍患者80例作为研究对象,采用随机数字表法分为对照组与观察组,各40例。对照组实施鼻胃管肠内营养支持联合常规护理,观察组实施间歇性经口至食管管饲胃肠营养联合预判性护理。比较两组吞咽功能及营养状态。结果:干预后,两组吞咽造影检查评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组洼田饮水试验、标准吞咽功能评价量表评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组血红蛋白、白蛋白、总蛋白水平高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:间歇性经口至食管管饲胃肠营养联合预判性护理应用于脑卒中吞咽障碍患者的效果显著,能够改善吞咽功能及营养指标,值得临床应用并予以推广。
Objective:To analyze the effect of intermittent oral to esophageal tube feeding for gastrointestinal nutrition combined with predictive nursing in stroke patients with dysphagia.Methods:A total of 80 stroke patients with dysphagia admitted to Shanghai Xuhui District Dahua Hospital between January 2020 and March 2023 were selected as the study subjects.The patients were divided into a control group and an observation group using a random number table grouping method,with 40 patients in each group.The control group received nasogastric tube enteral nutrition support combined with routine nursing,and the observation group received intermittent oral to esophageal tube feeding for gastrointestinal nutrition combined with predictive nursing.The swallowing function and nutritional status were compared between two groups.Results:After intervention,the swallowing contrast examination score in the two groups was higher than that before intervention,the score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The scores of the water swallowing test and the standard swallowing function evaluation scale in the two groups were lower than those before intervention,the scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After intervention,the levels of hemoglobin,albumin and total protein in the two groups were higher than those before intervention,the levels in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Intermittent oral to esophageal tube feeding for gastrointestinal nutrition combined with predictive nursing has a significant effect in stroke patients with dysphagia,and can improve swallowing function and nutritional indexes,which is worthy of clinical application and promotion.
作者
章琼
Zhang Qiong(Shanghai Xuhui District Dahua Hospital,Shanghai 200237,China)
出处
《中国社区医师》
2024年第15期128-130,共3页
Chinese Community Doctors
关键词
间歇性经口至食管管饲胃肠营养
预判性护理
脑卒中
吞咽障碍
Intermittent oral to esophageal tube feeding for gastrointestinal nutrition
Predictive nursing
Stroke
Dysphagia
