[摘要] 目的 探讨延续性护理支持下实施间歇经口至食管管饲法(intermittent oral to esophageal tube feeding，IOE)在脑卒中后吞咽障碍患者中的应用。方法 选取2023年1月至9月温州医科大学附属第二医院收治的100例脑卒中后吞咽障碍患者作为研究对象，采用随机数字表法分为对照组(n=50)与观察组(n=50)。对照组使用经鼻留置胃管法营养支持，观察组采用IOE干预。对比两组患者在干预前后的吞咽功能、营养指标、健康状况调查简表(item short from health survey，SF-36)评分差异及并发症发生情况。结果 干预后观察组患者的吞咽功能较对照组改善明显，差异有统计学意义(Plt;0.05)；两组患者的营养指标均有上升，且观察组高于对照组(Plt;0.05)；观察组患者的SF-36各项目评分均高于对照组(Plt;0.05)；观察组患者的并发症发生率较对照组明显减少(Plt;0.05)。结论 延续性护理支持下实施IOE能有效提高脑卒中后吞咽障碍患者的吞咽功能，减少并发症的发生。

    [关键词] 吞咽障碍；间歇经口至食管管饲法；脑卒中；综合康复训练

    [中图分类号] R493" " " [文献标识码] A" " " [DOI] 10.3969/j.issn.1673-9701.2025.11.004

    Application of IOE in stroke patients with swallowing disorders under continuity of care

    JIA Yingbi， ZHANG Chunxia， WANG Xiaozhen

    Department of Emergency， the Second Affiliated Hospital of Wenzhou Medical University， Wenzhou 325000， Zhejiang， China

    [Abstract] Objective To explore application of intermittent oral to esophageal tube feeding (IOE) supported by continuity of care in stroke patients with swallowing disorders. Methods A total of 100 stroke patients with swallowing disorders admitted to the Second Affiliated Hospital of Wenzhou Medical University from January to September 2023 were selected as subjects ......