The effect of fiberoptic endoscopic evaluation of swallowing on the incidence of re-tube feeding and aspiration pneumonia in patients with dysphagia at the time of stopping tube feeding
Objective To study the influence of fiberoptic endoscopic evaluation of swallowing on the incidence of re-tube feeding and aspiration pneumonia in patients with dysphagia at the time of stopping tube feeding.Methods 82 patients with dysphagia were divided into a conventional group and an exploratory group according to different intervention plans,with 41 patients in each group.For patients in the conventional group,the timing of stopping tube feeding was evaluated according to the results of Glasgow Coma Assessment Scale and water swallow test;for patients in the exploratory group,the timing of stopping tube feeding was evaluated by results of fiberoptic endoscopic evaluation of swallowing.The occurrence of re-tube feeding and inhalation pneumonia was compared between the two groups.Results The incidence of re-tube feeding 0.00%and inhalation pneumonia 2.44%in the exploratory group were lower than those of 9.76%and 14.63%in the conventional group,and the difference was statistically significant(χ2=4.205,3.905;P=0.040,0.048<0.05).Conclusion The value of fiberoptic endoscopic evaluation of swallowing is quite high,which is helpful to ensure the right time to stop tube feeding for patients with dysphagia,effectively reduce the incidence of dangerous events such as inhalation pneumonia,and help patients recover as soon as possible,and is worth promoting.
DysphagiaRe-tube feedingFiberoptic endoscopic evaluation of swallowingAspiration pneumoniaTiming of stopping tube feeding
NETL
NSTL
万方数据
维普
