摘要
目的 分析、探究脑卒中并发吞咽障碍肠内营养支持中采取集束化护理联合盲插鼻肠管法的效果。方法选取区间2018年3月至2021年3月于本院实施肠内营养支持诊疗的脑卒中并发吞咽障碍患者研究,统计52例,运用随机数字表法分组,等分为2组,对照组给予鼻胃肠管肠内喂养联合集束化护理,研究组给予盲插鼻肠管肠内喂养联合集束化护理,比较相关指标,如营养指标、并发症等。结果 (1)营养指标:干预后,研究组血红蛋白、总蛋白水平与之对照组比高(P<0.05);(2)并发症:观察组吸入性肺炎、误吸等发生率较对照组低(P<0.05);(3)吞咽功能:干预后研究组洼田饮水实验相比之对照组低,藤岛分级分数相比之对照组高(P<0.05)。结论 脑卒中并发吞咽障碍肠内营养支持中采取集束化护理联合盲插鼻肠管法效果确切,可改善吞咽功能及营养状况,亦可规避或减少并发症,值得推广。
Objective To analyze and explore the effect of cluster nursing combined with blind insertion of nasoenteric tube in enteral nutrition support for stroke complicated with dysphagia.Methods Selected the patients with stroke complicated with dysphagia who received enteral nutrition support diagnosis and treatment in our hospital from March 2018 to March 2021.52 cases were counted and divided into 2 groups by random number table method.The control group was given Enteral feeding with nasogastric tube combined with cluster nursing.The study group was given blind insertion of enteral feeding with nasoenteric tube combined with cluster nursing,and the related indicators,such as nutritional indicators and complications,were compared.Results①Nutrition indicators:After intervention,the levels of hemoglobin and total protein in the study group were higher than those in the control group(P<0.05);②Complications:The incidence of aspiration pneumonia and aspiration in the observation group was lower than that in the control group(P<0.05);③Swallowing function:after the intervention,compared with the control group,the research group had lower water-drinking test scores,and the Fujishima grading score was higher than that of the control group(P<0.05).Conclusion In the enteral nutrition support of stroke complicated with dysphagia,cluster nursing combined with blind insertion of nasoenteric tube is effective,can improve swallowing function and nutritional status,and can avoid or reduce complications,which is worthy of promotion.
作者
薛红梅
杨纪丽
Xue Hongmei;Yang Jili(Department of Intensive Care medicine,Dongchang People’s Hospital,Liaocheng City,Liaocheng,Shandong,252000,China)
出处
《中国医学文摘（耳鼻咽喉科学）》
2023年第4期176-178,143,共4页
Chinese Medical Digest(Otorhinolaryngology)
关键词
集束化护理
脑卒中
吞咽功能
吸入性肺炎
营养指标
Cluster nursing
Stroke
Swallowing function
Aspiration pneumonia
Nutritional indicators
