经容积黏度试验介导的早期摄食训练对急性脑卒中后留置胃管病人的影响

Effect of early stage ingestion exercise mediated by volume-viscosity swallow test on patients with indwelling gastric tube after acute stroke

[目的]探讨经容积黏度试验(V-VST)介导的早期摄食训练对急性脑卒中后留置胃管病人的影响。[方法]选择2017年8月—2018年8月收治的急性脑卒中病人50例,按照随机数字表法分为对照组和观察组25例,两组病人病情稳定后均接受早期吞咽功能训练,观察组在此基础上通过V-VST评估病人进食的性状和一口量后,进行早期的标准摄食训练。比较两组置胃管时间、拔管成功例数、吸入性肺炎发生率及住院时间。[结果]两组成功拔管率和吸入性肺炎发生率差异无统计学意义(P>0.05),观察组置胃管时间和住院时间少于对照组(P<0.05)。[结论]针对急性脑卒中后留置胃管病人早期采用经V-VST介导的摄食训练,可以缩短留置胃管时间和住院时间。

Objective:To investigate the effect of early stage ingestion exercise mediated by volume-viscosity swallow test(V-VST) on the time of extubation in patients with indwelling gastric tube after acute stroke.Methods:Fifty patients with acute stroke admitted the hospital from August 2017 to August 2018 were enrolled.According to the random number table method,they were divided into the control group and the observation group,25 cases in each group.After stable condition,both two groups received early-stage swallowing function training.The observation group assessed the traits and a dose of the patient's eating by V-VST and conducted early-stage standard ingestion exercise.The time of gastric tube placement,the number of successful extubation,both two group incidence of aspiration pneumonia,and the length of hospital stay were compared between the two groups.Results:There was no significant difference between the two groups in the successful extubation rate and the incidence of aspiration pneumonia(P>0.05).The length of gastric tube administration and hospital stay in the observation group were shorter than those in the control group(P<0.05).Conclusions:Conducting ingestion exercise mediated by V-VST on patients with indwelling gastric tube after acute stroke could shorten the length of indwelling gastric tube,and hospital say.