间歇经口至食管管饲法对脑卒中致吞咽障碍患者的疗效分析

Analysis of Effect of Intermittent Transoral to Esophageal Approach on Patients with Dysphagia Caused by Stroke

目的评价脑卒中致吞咽障碍患者采用间歇经口至食管法的治疗效果。方法选取2018年7月至2019年7月江苏省人民医院溧阳市分院接诊的52例脑卒中致吞咽障碍患者,利用随机数字表法将患者分为2组,每组26例。对照组接受持续留置鼻饲方法营养支持治疗,观察组接受间歇经口至食管法治疗,对比2组脑卒中致吞咽障碍患者治疗效果。结果观察组营养状况、置管时间、吞咽功能恢复优于对照组,置管并发症发生率低于对照组,生活质量评分高于对照组(P<0.05)。结论脑卒中致吞咽障碍患者采用间歇经口至食管法的治疗效果确切,可以更好地促进吞咽功能恢复,缩短置管时间,减少并发症,改善患者的各项指标。

Objective To evaluate the efficacy of intermittent transoral to esophageal approach in patients with dysphagia caused by stroke.Methods Totally 52 patients with dysphagia due to stroke from July 2018 to July 2019 were included and divided into two groups with 26 patients in each group by random number table.The control group was treated with continuous indwelling nasal feeding,and the observation group was treated with intermittent oral-esophageal therapy,compared with the two groups of patients with dysphagia caused by stroke.Results The nutritional status,catheterization time and recovery of swallowing function of the observation group were better than the control group,the incidence of catheterization complications of the observation group was lower than the control group,and the quality of life score of the observation group was higher than the control group(P<0.05).Conclusion Intermittent transoral to esophageal method is effective in treating patients with dysphagia caused by stroke,which can better improve the therapeutic effect and improve the indicators of patients.