洼田饮水试验联合香蕉泥一口量测试在脑卒中吞咽功能障碍患者中的应用价值

The application value of Kubota drinking water test combined with banana mud test in stroke patients with dysphagia

目的探讨洼田饮水试验联合香蕉泥一口量测试在脑卒中吞咽功能障碍患者中的应用价值。方法选取2019年9月至2021年9月于上海市第四康复医院住院的112例脑卒中吞咽功能障碍患者作为研究对象,按照随机数字表法分为对照组与观察组,每组56例。对照组根据洼田饮水试验结果给予常规护理和饮食指导,观察组在洼田饮水试验的基础上给予香蕉泥一口量测试,并依此测试结果给予饮食指导,比较两组营养状况[白蛋白(ALB)、前白蛋白(PA)、总蛋白(TP)、血红蛋白(HB)]、吸入性肺炎发生率、鼻胃管留置率、吞咽功能恢复情况。结果干预后,对照组ALB、PA、TP、HB水平与干预前比较差异无统计学意义,观察组ALB、PA、TP、HB水平均高于干预前和对照组,差异有统计学意义(P<0.05)。观察组吸入性肺炎发生率为3.57%,低于对照组的17.86%,差异有统计学意义(P<0.05);两组鼻胃管留置率比较差异无统计学意义;观察组吞咽功能恢复情况优于对照组,差异有统计学意义(P<0.05)。结论洼田饮水试验结合香蕉泥一口量测试可有效提升脑卒中吞咽功能障碍患者营养状态,降低吸入性肺炎发生率,促进吞咽功能恢复,值得临床推广应用。

Objective To explore the application value of Kubota drinking water test combined with banana mud test in stroke patients with dys--phagia.Methods A total of 112 stroke patients with dysphagia who were hospitalized in Shanghai Fourth Rehabilitation Hospital from September 2019 to September 2021 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 56 cases in each group.The control group was given routine nursing and dietary guidance according to the results of the Kubota drinking water test,the observation group was given banana mud test on the basis of the Kubota drinking water test,and dietary guidance was given according to the test results,the nutritional status(albumin[ALB],prealbumin[PA],total protein[TP],hemoglobin[HB]),incidence of aspiration pneumonia,nasogastric tube indwelling rate,and swallowing function recovery were compared between the two groups.Results After intervention,the levels of ALB,PA,TP and HB in the control group were not significantly different from those before intervention,the levels of ALB,PA,TP and HB in the observation group were higher than those before intervention and the control group,and the differences were statistically significant(P<0.05).The incidence of aspiration pneumonia in the observation group was 3.57%,which was lower than 17.86%in the control group,and the difference was statistically significant(P<0.05);there was no significant difference in nasogastric tube indwelling rate between the two groups;the recovery of swallowing function in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Kubota drinking water test combined with banana mud test can effectively improve the nutritional status of stroke patients with dysphagia,reduce the incidence of aspiration pneumonia,and promote the recovery of swallowing function,which is worthy of clinical promotion and pplication.