间歇经口至食管管饲法联合个性化吞咽康复训练在脑卒中吞咽障碍患者中的应用效果

Application Effect of Intermittent Oral to Esophageal Tube Feeding Combined with Personalized Swallowing Rehabilitation Training in Stroke Patients with Dysphagia

目的:探讨间歇经口至食管管饲法联合个性化吞咽康复训练在脑卒中吞咽障碍患者中的应用效果。方法:选取2021年9月-2022年11月广西横州市人民医院收治的165例脑卒中吞咽障碍患者作为研究对象,根据随机数字表法分为研究组与对照组。对照组给予常规持续经鼻胃管管饲联合吞咽康复训练,研究组给予间歇经口至食管饲联合个性化吞咽康复训练,比较两组卒中相关性肺炎发生情况、吞咽功能障碍改善情况、营养情况、生活质量及并发症发生情况。结果:研究组卒中相关性肺炎发生率低于对照组,吞咽功能障碍改善总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,研究组血红蛋白、血浆白蛋白、总蛋白、体重指数均高于对照组,差异有统计学意义(P<0.05)。治疗后,研究组生活质量评分高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:给予脑卒中吞咽障碍患者间歇经口至食管管饲法联合个性化吞咽康复训练干预,有助于改善患者营养条件及生活质量,降低卒中相关性肺炎以及并发症发生率。

Objective:To explore the application effect of intermittent oral to esophageal tube feeding combined with personalized swallowing rehabilitation training in stroke patients with dysphagia.Methods:A total of 165 stroke patients with dysphagia who were admitted to People’s Hospital of Hengzhou from September 2021 to November 2022 were selected as the study subjects.They were divided into control group and study group according to random number table method.The control group was given routine continuous nasogastric tube feeding combined with swallowing rehabilitation training,and the study group was given intermittent oral to esophageal tube feeding combined with personalized swallowing rehabilitation training.The incidence of stroke-associated pneumonia,improvement of swallowing dysfunction,nutritional status,quality of life and complications of the two groups were compared.Results:The incidence of stroke-associated pneumonia in the study group was lower than that in the control group,and the overall effective rate of improvement in swallowing dysfunction was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,hemoglobin,plasma albumin,total protein and body mass index in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the quality of life score in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The intermittent oral to esophageal tube feeding combined with personalized swallowing rehabilitation training in stroke patients with dysphagia can improve the nutritional conditions and quality of life of patients,and reduce the incidence of stroke-associated pneumonia and complications.