球囊扩张训练结合阶梯式吞咽障碍食品方案对颅内肿瘤术后吞咽功能障碍患者摄食功能及营养状态的影响  

Effects of balloon dilation training combined with stepped dysphagia food program on feeding function and nutritional status of patients with dysphagia after intracranial tumor surgery

作　　者：黄晓欢 张巧玲[2] 李旭青 罗小琴 HUANG Xiaohuan;ZHANG Qiaoling;LI Xuqing;LUO Xiaoqin(School of Public Health,Xi'an Jiaotong University,Xi'an 710061;Xi'an Central Hospital,Xi'an 710003,China)

机构地区：[1]西安交通大学公共卫生学院,陕西西安710061 [2]西安市中心医院,陕西西安710003

出　　处：《临床医学研究与实践》2024年第27期134-137,共4页Clinical Research and Practice

摘　　要：目的探究球囊扩张训练结合阶梯式吞咽障碍食品方案对颅内肿瘤术后吞咽功能障碍患者摄食功能及营养状态的影响。方法选择2019年7月至2022年12月收治的80例颅内肿瘤术后吞咽功能障碍患者为研究对象,以随机数字表法将其分为对照组和观察组,每组40例。对照组接受常规护理+阶梯式吞咽障碍食品方案,观察组在对照组基础上加施球囊扩张训练。比较两组的干预效果。结果干预后,观察组的功能性经口摄食量表(FOIS)评分高于对照组,标准吞咽功能评估量表(SSA)评分低于对照组(P<0.05)。干预后,观察组的白蛋白(Alb)、转铁蛋白(TRF)、血红蛋白(Hb)水平均高于对照组(P<0.05)。干预后,观察组的误吸风险等级1~3级占比高于对照组(P<0.05)。结论球囊扩张训练结合阶梯式吞咽障碍食品方案用于颅内肿瘤术后吞咽功能障碍患者的护理中,可提高患者摄食功能,降低误吸风险等级,有助于改善营养状态。Objective To explore the effects of balloon dilation training combined with stepped dysphagia food program on feeding function and nutritional status of patients with dysphagia after intracranial tumor surgery.Methods A total of 80 patients with dysphagia after intracranial tumor surgery admitted from July 2019 to December 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group received routine nursing+stepped dysphagia food program,and the observation group received balloon dilatation training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the Functional Oral Intake Scale(FOIS)score of the observation group was higher than that of the control group,and the Standardized Swallowing Assessment(SSA)score was lower than that of the control group(P<0.05).After intervention,the levels of albumin(Alb),transferring(TRF)and hemoglobin(Hb)in the observation group were higher than those in the control group(P<0.05).After intervention,the proportion of aspiration risk grade 1-3 in the observation group was higher than that in the control group(P<0.05).Conclusion Balloon dilatation training combined with stepped dysphagia food program applied in nursing of patients with dysphagia after intracranial tumor surgery can improve the feeding function of patients,reduce the risk level of aspiration,and help to improve the nutritional status.

关 键 词：球囊扩张训练 阶梯式吞咽障碍食品方案 颅内肿瘤 吞咽功能障碍 摄食功能 营养状态 

分 类 号：R473[医药卫生—护理学]