Application effect of recumbent rehabilitation combined with enteral nutrition intervention in stroke patients with dysphagia
Objective To investigate the effect of recumbent rehabilitation combined with enteral nutrition intervention on the swallowing function and nutritional status of stroke patients with dysphagia.Methods A retrospective analysis was conducted on 88 stroke patients with dysphagia admitted to Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,with an enrollment period from March 2021 to April 2022.They were divided into an observation group(44 cases)and a control group(44 cases)according to different nursing modes.The control group was given enteral nutrition intervention,and the observation group was added with recumbent rehabilitation.The Water Swallow Test(WST)scores,National Institutes of Health Stroke Scale(NIHSS)scores,serum albumin(ALB),hemoglobin(Hb),D-lactic acid(D-LA),diamine oxidase(DAO),insulin-like growth factor-1(IGF-1),and vascular endothelial growth factor(VEGF)were compared between the two groups.Results After 2 weeks and 1 month of intervention,the WST scores,NIHSS scores,D-LA and DAO levels of the observation group were lower than those of the control group,and the Hb,ALB,IGF-1,and VEGF levels were higher than those of the control group.The above indicators and scores of the two groups were superior to those before intervention.There were statistically significant differences within and between groups(all P＜0.05).Conclusion Recumbent rehabilitation combined with enteral nutrition intervention can effectively improve the swallowing function and gastrointestinal barrier function of stroke patients with dysphagia,enhance the nutritional status,and promote the neurological recovery.
strokedysphagiarecumbent rehabilitationenteral nutrition interventionswallowing function
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维普
