Application effect of intermittent oral to esophageal tube feeding in children with cerebral palsy complicated with dysphagia
Objective To investigate the application of different tube feeding methods in nutritional support for children with cerebral palsy complicated with swallowing dysfunction and its effects on nutritional level,swallowing function and pulmonary infection.Methods Ninety-seven children with cerebral palsy combined with swallowing disorders admitted to the Third Affiliated Hospital of Zhengzhou University from October 2020 to October 2022 were selected as the research subjects.They were divided into persistent naso-gastric tube feeding(PNG)group(n=48)and intermittent oro-esophageal tube feeding(IOE)group(n=49)according to the random number table method.The PNG group received continuous nasogastric tube feeding,while the IOE group received intermittent oral to esophageal tube feeding.The nutritional levels,swallowing function,and pulmonary infection status were compared between the two groups.Results Before intervention,there was no significant difference in the levels of total protein,albumin,and prealbumin between the two groups(P＞0.05).After intervention,the total protein,albumin,and prealbumin levels in the IOE group were higher than those in the PNG group(P＜0.05).After intervention,the total effective rate of swallowing in the PNG group(66.67％,32/48)was lower than that in the IOE group(85.71％,42/49),the difference was significant(x2=4.8633,P=0.0274＜0.05).Before intervention,there was no significant difference in lip and tongue movements,chewing movements,and swallowing movements between the two groups(P＞0.05).After intervention,the lip and tongue movements,chewing movements,and swallowing movements in the IOE group were better than those in the PNG group(P＜0.05).After 3 months of intervention,the lung infection rate in the IOE group was lower than that in the PNG group,and the difference was significant(x=9.3855,P=0.0022＜0.05).Conclusions Intermittent oral to esophageal feeding can effectively improve the nutritional status,improve the swallowing function and reduce the risk of pulmonary infection in children with cerebral palsy and swallowing dysfunction,and the nutritional intervention effect is better than continuous nasogastric feeding.
Intermittent oral to esophageal feedingDysphagiaCerebral palsyEnteral nutrition
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