摘要
目的:探讨间歇经口至食管管饲(IOE)和间歇经口至胃管饲(IOG)对脑卒中后吞咽障碍患者营养状况、吞咽功能以及肺部感染的影响。方法:将神经内科收治的脑卒中吞咽障碍患者180例随机分为IOE组、IOG组和对照组(持续经鼻至胃管饲),每组各60例,治疗后比较3组患者的营养指标、吞咽功能及肺部感染发生情况。结果:治疗14d后,3组的营养指标、生活质量、吞咽功能均较治疗前明显提高(均P<0.05),IOE组和IOG组的改善均优于对照组(均P<0.05),IOE组和IOG组上述各指标比较差异无统计学意义;治疗后,IOE组、IOG组总有效率均高于对照组(均P<0.05),而IOE组和IOG组疗效比较差异无统计学意义。治疗过程中,IOE组和IOG组并发症的发生率均显著低于对照组(均P<0.05);IOE组并发症发生率低于IOG组,但差异无统计学意义。结论:间歇经口至食管管饲可有效提高脑卒中吞咽障碍患者的疗效,改善其吞咽功能、生活质量和营养状况,并且治疗过程中误吸、吸入性肺炎等并发症发生率低,值得临床推广。
Objective:To investigate the effects of intermittent oro esophageal tube feeding(IOE)and intermittent oro gaster tube feeding(IOG)on nutritional status,swallowing function and pulmonary infection in stroke patients with dysphagia.Methods:180patients with dysphagia following stroke in department of neurology were randomly and equally divided into IOE group,IOG group and control group(persistent nasogastric tube).After treatment,nutrition index,swallowing function and pulmonary infection among three groups were compared.Results:After treatment for14days,nutrition index,quality of life and swallowing function in the three groups were significantly improved as compared with those pre treatment(all P<0.05),and those in the IOE group and IOG group were improved more significantly than in the control group(all P<0.05),but there was no significant difference between IOE group and IOG group.After treatment,the total effective rate in IOE group and IOG group was significantly higher than in the control group(P<0.05),but there was no significant difference between IOE group and IOG group.In the course of treatment,the incidence of complication in IOE group and IOG group was significantly lower than in the control group(P<0.05),but there was significant difference between IOE group and IOG group(P>0.05).Conclusion:IOE can increase clinical effects of stroke patients with dysphagia,improve swallowing function,quality of life and nutritional status,reduce the complication rate of aspiration and inhalation pneumonia,and it is worth of clinical generalization.
作者
张艳丽
崔颖
Zhang Yanli;Cui Ying(Department of Neurology, Zhoukou Central Hospital of Henan Province, Zhoukou 466000, China)
出处
《中国康复》
2017年第5期397-400,共4页
Chinese Journal of Rehabilitation
关键词
间歇经口至食管管饲
间歇经口至胃管饲
吞咽障碍
脑卒中
intermittent oro esophageal tube feeding
intermittent oro gaster tube feeding
dysphagia
stroke
