吞咽功能训练联合鼻饲对急性脑梗死吞咽功能障碍患者的影响  

Effect of Swallowing Function Training Combined with Nasal Feeding on Acute Cerebral Infarction Patients with Swallowing Dysfunction

作　　者：夏菲菲 XIA Feifei(The Second People’s Hospital of Hefei,Hefei 230011,China)

机构地区：[1]合肥市第二人民医院,安徽合肥230011

出　　处：《中外医学研究》2022年第35期98-101,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究吞咽功能训练联合鼻饲对急性脑梗死吞咽功能障碍患者的影响。方法:选取2020年3月-2022年1月合肥市第二人民医院收治的96例急性脑梗死吞咽功能障碍患者,采用掷硬币法将患者随机分为观察组和对照组,各48例。对照组予以鼻饲,观察组在此基础上给予吞咽功能训练。比较两组的营养状况、吞咽障碍程度、生活质量、住院时间、吞咽功能恢复时间及护理满意度。结果:护理前,两组的营养状况比较,差异无统计学意义(P>0.05)。护理后,观察组的营养状况比对照组更好,差异有统计学意义(P<0.05)。护理前,两组的吞咽障碍造影评分量表(VDS)评分相比,差异无统计学意义(P>0.05);护理后,两组的VDS评分均降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组吞咽功能恢复时间及住院时间短于对照组,生活质量评分优于对照组,差异有统计学意义(P<0.05)。观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:吞咽功能训练联合鼻饲对急性脑梗死吞咽功能障碍患者具有积极影响,能够使患者吞咽功能障碍程度和营养状况得到改善,提高患者的生活质量,且能够有效地缩短患者的住院时间,促进患者康复,提高患者的护理满意度。Objective:To explore the effect of swallowing function training combined with nasal feeding on acute cerebral infarction patients with swallowing dysfunction.Method:A total of 96 patients with dysphagia due to acute cerebral infarction admitted to the Second People’s Hospital of Hefei from March 2020 to January 2022 were selected,and they were randomly divided into observation group and control group by coin toss method,with 48 cases in each group.The control group was given nasogastric tube feeding,and the observation group was given swallowing function training on the basis of the control group.The nutritional status,degree of dysphagia,quality of life,length of hospital stay,recovery time of swallowing function and nursing satisfaction were compared between the two groups.Result:Before the nursing,there were no significant differences in the nutritional status indexes between the two groups(P>0.05).After the nursing,the nutritional status indexes in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Before the nursing,there were no significant differences in the video fluoroscopic dysphagia scale(VDS)scores between the two groups(P>0.05).After the nursing,the VDS scores in the two groups were decreased,and the indexes in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The recovery time of swallowing function and hospitalization time in the observation group were shorter than those in the control group,and the score of quality of life was better than that in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Swallowing function training combined with nasal feeding has a positive effect on acute cerebral infarction patients with swallowing dysfunction,which can improve the degree of swallowin

关 键 词：吞咽功能训练 鼻饲 急性脑梗死 吞咽功能障碍 营养状况 

分 类 号：R473.74[医药卫生—护理学]