| 乐 琳,郭 君,郭钢花,李 哲,王颖娜.间歇口-胃管管饲法对脑卒中后行吞咽障碍治疗患者的影响[J].中国康复医学杂志,2021,(4):426~430 |
| 间歇口-胃管管饲法对脑卒中后行吞咽障碍治疗患者的影响 点此下载全文 |
| 乐 琳 郭 君 郭钢花 李 哲 王颖娜 |
| 郑州大学第五附属医院康复医学科，河南省郑州市，450052 |
| 基金项目：河南省卫生计生科技英才海外研修工程项目（2018073） |
| DOI：10.3969/j.issn.1001-1242.2021.04.007 |
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| 摘要
目的：研究间歇口-胃管管饲法对脑卒中后行吞咽障碍治疗患者吞咽功能、营养水平、生活质量、置管并发症的影响。
方法：将82例脑卒中后吞咽障碍患者按随机数表法分为观察组和对照组各41例，入组均实施常规治疗及护理措施，其中观察组采取间歇口-胃管管饲法，对照组采取持续鼻-胃管管饲法，均治疗4周。观察治疗前后体重指数（BMI）、血红蛋白（HB）、血清总蛋白（TP）、白蛋白（ALB）变化情况，比较吞咽障碍程度评分（VGF）、生活质量测定量表简表（WHOQOL-BREF）评分情况，并统计治疗期间置管成功情况（一次成功、二次成功、插管失败）及并发症（吸入性肺炎、消化道出血、鼻腔黏膜损伤）发生情况。
结果：观察组治疗后BMI、HB、TP、ALB水平改善情况均优于对照组（P<0.05）；观察组治疗后VGF评分、WHOQOL-BREF量表评分改善情况均优于对照组（P均<0.05）；观察组治疗期间插管成功率及并发症发生率均优于对照组（P<0.05）。
结论：脑卒中后行吞咽障碍治疗患者使用间歇口-胃管管饲法，可保证营养供给，有助于患者吞咽功能的恢复、生活质量的改善，同时对于提高置管成功率、减少并发症发生率具有积极的作用。 |
| 关键词：脑卒中 吞咽障碍 间歇口-胃管管饲法 营养指标 生活质量 并发症 |
| Effects of intermittent mouth-stomach tube feeding in patients undergoing dysphagia treatment after stroke Download Fulltext |
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| Fifth Affiliated Hospital of Zhengzhou University， Henan， Zhengzhou， 450052 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To study effects of intermittent mouth-stomach tube feeding on swallowing function， nutrition level， quality of life and catheterization complications in patients undergoing dysphagia treatment after stroke.
Method: Eight-two patients with dysphagia were divided into observation group and control group by random number table method， 41 cases in each group. All were given routine treatment and nursing measures. The observation group was given intermittent mouth-stomach tube feeding， while control group was given continuous nasal-stomach tube feeding. All subjects were treated for 4 weeks. The changes in body mass index (BMI)， hemoglobin (HB)， serum total protein (TP) and albumin (ALB) before and after treatment were observed. The scores of dysphagia degree (VGF) and World Health Organization Quality of Life Questionnaire abbreviated version (WHOQOL-BREF) were compared. The catheterization success (one-time success， two-time successes， intubation failure) and occurrence of complications (aspiration pneumonia， gastrointestinal bleeding， nasal mucosal injury) during treatment were statistically analyzed.
Result: After treatment， improvement of BMI， HB， TP and ALB levels in observation group was better than that in control group (P<0.05). After treatment， improvement of VGF and WHOQOL-BREF scores in observation group was better than that in control group (P<0.05). The success rate of intubation and incidence of complications during treatment period in observation group were better than those in control group (P<0.05).
Conclusion: The application of intermittent mouth-stomach tube feeding in patients undergoing dysphagia treatment after stroke can ensure nutrient supply， which is conducive to recovery of swallowing function and improvement of quality of life，and plays positive roles in improving success rate of catheterization and reducing incidence of complications. |
| Keywords:stroke dysphagia intermittent mouth-stomach tube feeding nutrition index quality of life complication |
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