两种管饲法在脑卒中吞咽障碍患者预防并发吸入性肺炎的临床观察

Clinical observation of two kinds of tube feeding in preventing aspiration pneumonia in patients with dysphagia after stroke

目的探讨鼻胃管和鼻肠管两种管饲法在脑卒中吞咽障碍患者吸入性肺炎预防中的应用效果。方法选取80例2017年1月至2019年1月南阳市第一人民医院收治的脑卒中吞咽障碍患者,随机分为两组(对照组和研究组)各40例,对照组应用鼻胃管管饲法,研究组采用鼻肠管管饲法,比较两组患者的吸入性肺炎发生率。结果研究组误吸率为5.0%,显著低于对照组(30.0%),差异有统计学意义(P<0.05),研究组与对照组吸入性肺炎发生率分别为2.5%和25.0%,组间差异对比有统计学意义(P<0.05)。结论鼻肠管管饲法在保障脑卒中吞咽障碍患者营养摄入的同时,还有助于降低患者的吸入性肺炎发生风险,可推广应用。

Objective To investigate the effect of nasogastric tube feeding and nasointestinal tube feeding on the prevention of aspiration pneumonia in patients with dysphagia after stroke.Methods Totally 80 patients with dysphagia after stroke admitted to our hospital from January 2017 to January 2019 were randomly divided into two groups(control group and research group) with 40 cases in each group. The control group received nasogastric tube feeding and the research group received nasointestinal tube feeding, compare the incidence of aspiration pneumonia in the two groups.Results The aspiration rate of the study group was 5.0%, significantly lower than that of the control group(30.0%, P<0.05), the incidence of aspiration pneumonia in the study group and the control group was 2.5% and 25.0%, respectively, the difference between the groups was statistically significant(P<0.05).Conclusion Nasointestinal tube feeding can not only ensure the nutritional intake of patients with dysphagia after stroke, but also help to reduce the risk of aspiration pneumonia, which can be widely used.