间歇经口至胃管管饲对脑卒中吞咽障碍患者吞咽功能、营养状态及生活质量的影响

Effect of intermittent oral to gastric tube feeding on swallowing function,nutritional status and quality of life in stroke patients with dysphagia

目的探讨间歇经口至胃管管饲对脑卒中吞咽障碍患者吞咽功能、营养状态及生活质量的影响。方法选择2016年6月至2017年11月在我院接受治疗的缺血性脑卒中后吞咽障碍患者180例。将患者随机等分为观察组和对照组,两组均采取同样的基础治疗及护理,对照组行鼻胃管营养支持,观察组采用间歇经口至胃管管饲进行营养支持。比较两组患者吞咽功能、营养状态及生活质量。结果干预后观察组患者吞咽功能优于对照组(P <0. 05),患者总蛋白、白蛋白和血红蛋白水平及生活质量优于对照组(P <0. 05)。结论间歇经口至胃管管饲较传统的鼻饲可明显改善脑卒中患者吞咽功能及其营养状态、提高患者生活质量。

Objective To investigate the effect of intermittent oral to gastric tube feeding on swallowing function,nutritional status and quality of life in stroke patients with dysphagia.Methods To select 180 cases of patients with dysphagia after ischemic stroke who were treated in our hospital from June 2016 to November 2017,and they were divided into observation group and control group with the same number of patients randomly.Both groups were treated with the same basic treatment and nursing.The control group was given nasogastric tube nutrition support,while the observation group was given intermittent oral to gastric tube tube feeding for nutritional support.The swallowing function,nutritional status and quality of life of the two groups were compared.Results After intervention,the swallowing function of the observation group was better than that of the control group(P<0.05).The total protein,albumin and hemoglobin levels and quality of life were better than those of the control group(P<0.05).Conclusion Intermittent oral to gastric tube feeding can improve the swallowing function and nutritional status of stroke patients significantly.Meanwhile,it can improve their quality of life.