两种喂养途径对假性延髓麻痹伴中度吞咽障碍患者吸入性肺炎发生率的影响  

Impact of two feeding ways on the incidence of aspiration pneumonia in the patients with pseudobulbar palsy associated with moderate dysphagia

作　　者：陈霞[1] 宋晨[1] 王小花[1] 叶敏[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《齐鲁护理杂志》2013年第5期16-18,共3页Journal of Qilu Nursing

摘　　要：目的:探讨经口喂养和鼻饲喂养对假性延髓麻痹伴中度吞咽障碍患者吸入性肺炎发生率的影响。方法:将108例假性延髓麻痹伴中度吞咽障碍患者随机分为经口喂养组(60例)和鼻饲喂养组(48例),比较两组患者住院期间吸入性肺炎的发生率、病死率、住院时间及随访6个月后吸入性肺炎发生率、病死率。结果:鼻饲喂养组吸入性肺炎发生率高于经口喂养组(P<0.05),两组平均住院时间比较差异有统计学意义(P<0.01)。结论:对假性延髓麻痹伴中度吞咽障碍患者选用经口喂养途径,可减少吸入性肺炎发生率,改善预后。Objective：To investigate the impact of oral feeding and nasal feeding on the incidence of aspiration pneumonia in the patients with pseudobulbar palsy associated with moderate dysphagia.Methods：108 patients with pseudobulbar palsy associated with moderate dysphagia were randomly divided into oral feeding group（n=60） and nasal feeding group（n=48）.The incidence of aspiration pneumonia and fatality rate during hospitalization,hospitalization days and the incidence of aspiration pneumonia and fatality rate after following up the patients for 6 months were compared between the two groups.Results：The incidence of aspiration pneumonia was higher in the nasal feeding group than the oral feeding group（P0.05）;the difference in the comparison of average hospitalization time was statistically significant between the two groups（P0.01）.Conclusion：Application of oral feeding can reduce the incidence of aspiration pneumonia and improve prognosis of patients with pseudobulbar palsy associated with moderate dysphagia.

关 键 词：假性延髓麻痹 吞咽障碍 喂养途径 吸入性肺炎 

分 类 号：R473.5[医药卫生—护理学]