首页|间歇经口至食管管饲对脑卒中所致吞咽障碍患者吞咽功能及吸入性肺炎的影响

间歇经口至食管管饲对脑卒中所致吞咽障碍患者吞咽功能及吸入性肺炎的影响

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目的 探讨间歇经口至食管管饲在脑卒中所致吞咽障碍患者中的应用效果.方法 将2021年10月至2022年10月本院收治的92例脑卒中所致吞咽障碍患者随机分为两组各46例.对照组采取持续经鼻至胃管饲,观察组采取间歇经口至食管管饲,两组均持续干预观察2周.比较两组的吞咽功能、并发症发生率、口咽舒适度和日常生活能力.结果 干预后,观察组标准吞咽功能量表(SSA)评分低于对照组,舒适状况量表(GCQ)、日常生活活动量表(ADL)评分高于对照组(P<0.05).观察组并发症发生率低于对照组(P<0.05).结论 间歇经口至食管管饲可改善脑卒中所致吞咽障碍患者的吞咽功能,降低吸入性肺炎发生率,增加患者口咽舒适度,提升其日常生活能力.
Impact of Intermittent Oral to Esophageal Tube Feeding on Swallowing Function and Aspiration Pneumonia in Patients with Deglutition Disorders
Objective To explore the effect of intermittent oral to esophageal tube feeding in patients with deglutition disorders.Methods 92 patients with deglutition disorders admitted to our hospital from October 2021 to October 2022 were randomly divided into two groups,with 46 cases in each group.The control group received continuous nasal to gastric tube feeding,and the observation group received intermittent oral to esophageal tube feeding.Both groups continued to intervene and observe for 2 weeks.The swallowing function,the incidence of complications,oropharyngeal comfort degree and daily living ability were compared between the two groups.Results After intervention,the score of the standard swallowing assessment(SSA)in the observation group was lower than that in the control group,while the scores of the comfort scale(GCQ)and the activity of daily living scale(ADL)were higher than those in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions Intermittent oral to esophageal tube feeding can improve the swallowing function of patients with deglutition disorders,reduce the incidence of aspiration pneumonia,improve the patients'oropharyngeal comfort degree and promote the ability of daily life.

StrokeDysphagiaIntermittent oral to esophageal tube feedingSwallowing functionAspiration pneumonia

焦婷婷、杜桦

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开封市中心医院神经内科重症监护病房,河南开封 475000

脑卒中 吞咽障碍 间歇经口至食管管饲 吞咽功能 吸入性肺炎

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(3)
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