间歇性鼻饲技术联合常规吞咽康复训练在改善脑卒中吞咽障碍患者吞咽功能和降低并发症发生率中的作用(1)
【摘要】 目的：探究间歇性鼻饲联合常规吞咽康复训练在改善脑卒中吞咽障碍患者吞咽功能与降低并发症发生率中的作用。方法：选择2018年1-12月笔者所在医院接收的脑卒中伴吞咽障碍患者40例，采取数字表法随机分成对照组及观察组，各20例，对照组采取持续鼻饲与常规吞咽康复训练，观察组采取间歇性鼻饲联合吞咽康复训练，观察两组干预效果。结果：干预前，两组吞咽功能差异无统计学意义(P>0.05);干预后观察组吞咽功能改善情况优于对照组，差异有统计学意义(P<0.05)。观察组总有效率(100%)高于对照组(70.00%)，吸入性肺炎发生率(5.00%)低于对照组(30.00%)，差异均有统计学意义(P<0.05)。结论：对脑卒中伴吞咽障碍患者应用间歇性鼻饲联合常规吞咽康复训练能改善其吞咽功能，减少并发症出现，值得采用。
【关键词】 吞咽康复训练; 间歇性鼻饲; 吞咽障碍; 脑卒中; 并发症
doi：10.14033/j.cnki.cfmr.2019.20.073 文献标识码 B 文章编号 1674-6805(2019)20-0-03
The Role of Intermittent Nasal Feeding Combined with Routine Swallowing Rehabilitation Training in Improving Swallowing Function and Reducing the Incidence of Complications in Patients with Dysphagia after Stroke/LEI Limin，WEN Chunlan，HE Jieqiong.//Chinese and Foreign Medical Research，2019，17(20)：-164
【Abstract】 Objective：To explore the effect of intermittent nasal feeding combined with routine swallowing rehabilitation training on improving swallowing function and reducing the incidence of complications in stroke patients with dysphagia.Method：A total of 40 stroke patients with dysphagia were selected from January to December 2018 in our hospital.They were randomly divided into two groups by digital table method.The control group received continuous nasal feeding and routine swallowing rehabilitation training，while the observation group received intermittent nasal feeding combined with swallowing rehabilitation training.The intervention effects of the two groups were observed.Result：Before intervention，there was no significant difference in swallowing function between the two groups(P>0.05)，but the improvement of swallowing function in the observation group was better than that in the control group(P<0.05).The total effective rate of the observation group(100%) was higher than 70.00% of the control group，and the incidence of aspiration pneumonia(5.00%) was lower than 30.00% of the control group(P<0.05).Conclusion：Intermittent nasal feeding combined with routine swallowing rehabilitation training can improve swallowing function and reduce complications in stroke patients with dysphagia.
【Key words】 Deglutition rehabilitation training; Intermittent nasal feeding; Deglutition disorder; Stroke; Complications
First-author’s address：Shaoguan First People’s Hospital，Shaoguan 512000，China
腦卒中不仅具有较高的发病率，同时也具有较高的复发率和致残致死率。有资料显示，脑卒中患者中有20%～70%的患者会出现吞咽障碍，使其生活质量明显下降，严重者甚至会因窒息而危及生命[1-2]。以往采取鼻胃管鼻饲能帮助脑卒中患者解决进食问题，确保其营养供给，但鼻胃管的长期留置易出现误吸、低热、食管狭窄等问题，因此，如何防止误吸，确保患者的营养供给，恢复其吞咽功能是脑卒中患者临床诊断与护理中的重要内容。笔者所在医院对脑卒中伴吞咽障碍患者应用间歇性鼻饲联合常规吞咽康复训练，效果显著，现陈述如下。, http://www.100md.com(雷丽敏 文春兰 何杰琼)
【关键词】 吞咽康复训练; 间歇性鼻饲; 吞咽障碍; 脑卒中; 并发症
doi：10.14033/j.cnki.cfmr.2019.20.073 文献标识码 B 文章编号 1674-6805(2019)20-0-03
The Role of Intermittent Nasal Feeding Combined with Routine Swallowing Rehabilitation Training in Improving Swallowing Function and Reducing the Incidence of Complications in Patients with Dysphagia after Stroke/LEI Limin，WEN Chunlan，HE Jieqiong.//Chinese and Foreign Medical Research，2019，17(20)：-164
【Abstract】 Objective：To explore the effect of intermittent nasal feeding combined with routine swallowing rehabilitation training on improving swallowing function and reducing the incidence of complications in stroke patients with dysphagia.Method：A total of 40 stroke patients with dysphagia were selected from January to December 2018 in our hospital.They were randomly divided into two groups by digital table method.The control group received continuous nasal feeding and routine swallowing rehabilitation training，while the observation group received intermittent nasal feeding combined with swallowing rehabilitation training.The intervention effects of the two groups were observed.Result：Before intervention，there was no significant difference in swallowing function between the two groups(P>0.05)，but the improvement of swallowing function in the observation group was better than that in the control group(P<0.05).The total effective rate of the observation group(100%) was higher than 70.00% of the control group，and the incidence of aspiration pneumonia(5.00%) was lower than 30.00% of the control group(P<0.05).Conclusion：Intermittent nasal feeding combined with routine swallowing rehabilitation training can improve swallowing function and reduce complications in stroke patients with dysphagia.
【Key words】 Deglutition rehabilitation training; Intermittent nasal feeding; Deglutition disorder; Stroke; Complications
First-author’s address：Shaoguan First People’s Hospital，Shaoguan 512000，China
腦卒中不仅具有较高的发病率，同时也具有较高的复发率和致残致死率。有资料显示，脑卒中患者中有20%～70%的患者会出现吞咽障碍，使其生活质量明显下降，严重者甚至会因窒息而危及生命[1-2]。以往采取鼻胃管鼻饲能帮助脑卒中患者解决进食问题，确保其营养供给，但鼻胃管的长期留置易出现误吸、低热、食管狭窄等问题，因此，如何防止误吸，确保患者的营养供给，恢复其吞咽功能是脑卒中患者临床诊断与护理中的重要内容。笔者所在医院对脑卒中伴吞咽障碍患者应用间歇性鼻饲联合常规吞咽康复训练，效果显著，现陈述如下。, http://www.100md.com(雷丽敏 文春兰 何杰琼)