首页|基于营养筛查结果的饮食干预对脑梗死后吞咽障碍患者营养状态与吞咽功能的影响

基于营养筛查结果的饮食干预对脑梗死后吞咽障碍患者营养状态与吞咽功能的影响

Effects of dietary intervention-based nutritional screening results on nutritional status and swallowing function in patients with dysphagia caused by cerebral infarction

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目的 探讨基于营养筛查结果的饮食干预对脑梗死后吞咽障碍患者营养状态与吞咽功能的影响.方法 纳入 2021 年 8 月至 2022 年 8 月收治的脑梗死后吞咽功能障碍患者 80 例,随机分为观察组和对照组,每组 40例.对照组采用常规干预,观察组采用基于营养筛查结果的饮食干预,比较2 组的营养状况、食物吞咽障碍程度、吞咽功能、生活质量和并发症发生情况.结果 2 组干预后的营养状况均优于干预前,观察组优于对照组(P<0.05).2 组干预后的吞咽障碍的程度评分(VGF)均高于干预前,观察组高于对照组(P<0.05).2 组干预后的标准吞咽功能评价量表(SSA)评分均低于干预前,观察组低于对照组(P<0.05).2 组干预后的吞咽障碍特异性生活质量量表(SWAL-QOL)评分均高于干预前,观察组高于对照组(P<0.05).观察组并发症发生率为 7.50%低于对照组的 27.50%(P<0.05).结论 给予脑梗死后吞咽障碍患者基于营养筛查结果的饮食干预措施,能有效改善患者的营养状况、食物吞咽障碍程度和吞咽功能,提高患者的生活质量,降低并发症.
Objective To explore the effects of dietary intervention-based nutritional screening results on nutritional status and swallowing function in patients with dysphagia caused by cerebral infarction.Methods Eighty patients with dysphagia caused by cerebral infarction admitted to our hospital from August 2021 to August 2022 were included as the study subjects and randomly assigned into two groups,with 40 cases in each group.The control group received routine intervention,while the observation group received dietary intervention based on nutritional screening results.The nutritional status,degree of food swallowing disorders,swallowing function,quality of life,and incidence of complications were compared between the two groups.Results After intervention,the nutritional status of both groups was significantly better than that before intervention,and the improvement was more in observation group(P<0.05).The score of swallowing disorders degree in both groups was significantly higher than that before intervention,while the observation group was significantly higher than the control group(P<0.05).After intervention,the significantly lower standardized swallowing assessment(SSA)and significantly higher swallowing Quality of Life instrument(SWAL-QOL)scores were detected in the both groups(both P<0.05),and the observation group was superior to the control group for SSA and SWAL-QOL scores(both P<0.05).The incidences of complications in the observation group were significantly lower than those in the control group(7.50%vs 27.50%,P<0.05).Conclusion For patients with dysphagia caused by cerebral infarction,dietary intervention-based nutritional screening results can effectively improve their nutritional status,degree of food swallowing disorders,and swallowing function,improve their quality of life,and reduce the complications.

dysphagianutritional statusswallowing functionnutritional screeningcerebral infarction

王秋蕊、阮巍、杨秋菊

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100035 北京市,首都医科大学附属北京积水潭医院神经内科

吞咽障碍 营养状态 吞咽功能 营养筛查 脑梗死

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(5)
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