经颅磁刺激与综合营养管理改善脑梗死吞咽障碍患者进食及营养状况的效果  

Effect of transcranial magnetic stimulation combined with comprehensive nutritional management on improving eating and nutritional status of patients with dysphagia after cerebral infarction

作　　者：陈亚文 董欣[1] 禹玲[1] CHEN Yawen;DONG Xin;YU Ling(Ward 1,Department of Neurology,Jiangsu Province Hospital,Jiangsu,Nanjing 210000,China)

机构地区：[1]江苏省人民医院神经内科一病区,南京市210000

出　　处：《河北医药》2024年第3期421-424,共4页Hebei Medical Journal

摘　　要：目的探究经颅磁刺激结合综合营养管理对脑梗死吞咽障碍患者的临床效果。方法选择2020年8月至2021年9月收治的82例脑梗死吞咽障碍患者作为研究对象,按数表法将其分为对照组与观察组,每组有41例,给予所有患者饮食、健康宣教、吞咽训练等常规护理,观察组则在此基础上添加经颅磁刺激、综合营养管理,对2组的干预效果进行比较。结果在进食安全情况上,观察组的呛咳、噎食、口鼻反流发生率均低于对照组(P<0.05);在机体营养指标方面,观察组血清白蛋白(Alb)、血清前白蛋白(PAB)、血红蛋白(Hb)含量均高于对照组(P<0.05);在脑血流情况上,观察组左椎动脉血流速度、右椎动脉血流速度、基底动脉血流速度均大于对照组(P<0.05);在满意度上,观察组满意度明显高于对照组(P<0.05)。结论经颅磁刺激结合综合营养管理可保障脑梗死吞咽障碍患者的进食安全性,提高机体营养水平,并促进脑部血流,避免脑部血供不足,取得较为满意的效果。Objective To explore the clinical effect of transcranial magnetic stimulation combined with comprehensive nutritional management on cerebral infarction patients with dysphagia.Methods A total of 82 cerebral infarction patients with dysphagia admitted to our hospital from August 2020 to September 2021 were selected as research objects.They were randomly divided into control group and observation group by the random number table method,with 41 patients in each group.All patients were given routine nursing,such as diet,health education and swallowing training,while those in the observation group were additionally given transcranial magnetic stimulation combined with comprehensive nutrition management.The intervention effects of the two groups were compared.Results In the aspect of eating safety,the incidence of choking,food-suffocation and mouth-nose reflux in the observation group was significantly lower than that of the control group(P<0.05).In of the aspect of nutritional indexes,the contents of serum albumin(Alb),prealbumin(PAB)and hemoglobin(Hb)in the observation group were significantly higher than those of the control group(P<0.05).In the aspect of cerebral blood flow,the left vertebral artery blood flow velocity,right vertebral artery blood flow velocity and basilar artery blood flow velocity in the observation group were significantly higher than those of the control group(P<0.05).The satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Transcranial magnetic stimulation combined with comprehensive nutrition management can ensure the eating safety of cerebral infarction patients with dysphagia,improve the nutritional level,promote the cerebral blood flow,avoid the shortage of cerebral blood supply,and achieve satisfactory results.

关 键 词：经颅磁刺激 综合营养管理 脑梗死吞咽障碍 进食 营养状况 脑血流 

分 类 号：R743.33[医药卫生—神经病学与精神病学]