经口间歇管饲干预联合舌三针对脑卒中吞咽障碍患者的影响观察  

作　　者：郭玉梅 刘文芳 曹维维 

机构地区：[1]厦门弘爱康复医院,福建厦门361016

出　　处：《黑龙江中医药》2024年第5期60-62,共3页Heilongjiang Journal of Traditional Chinese Medicine

摘　　要：目的:观察和评价脑卒中吞咽障碍患者联合应用经口间歇管饲干预与舌三针联合干预的效果。方法:以随机数表生成法将自2023年4月至2024年6月接受治疗的61例脑卒中后吞咽障碍患者分为两组,对照组患者采用经鼻持续性胃管插入法,观察组患者采用经口间歇管饲与舌三针疗法,比较两组洼田饮水实验(WST)评分、曼恩吞咽能力评估量表(MASA)、巴氏量表(BI)评分及营养指标改善情况,统计两组并发症。结果:干预前两组WST、MASA评分及BI评分无明显差异(P>0.05),干预后组间比较,观察组WST评分更低,MASA和BI评分更高(P<0.05)。干预前两组营养状况无统计学意义(P>0.05),干预后观察组血清白蛋白(ALB)、血红蛋白(Hb)、血清前白蛋白(PA)指标水平高于对照组(P<0.05)。观察组并发症总发生率较对照组低(P<0.05)。结论:脑卒中吞咽障碍患者联合应用经口间歇管饲干预、舌三针干预可促进吞咽功能改善并提升生活质量,对于减少并发症也有重要价值。Objective:To observe and evaluate the effect of intermittent tube feeding support intervention and tongue three needle combined intervention in stroke patients with swallowing disorders.Method:A total of 61 post-stroke patients with swallowing disorders who received treatment from April 2023 to June 2024 were randomly divided into two groups using a random number table generation method.The control group received continuous nasogastric tube insertion,while the observation group received intermittent tube feeding and tongue three needle therapy.The scores of the Wada Drinking Water Test(WST),Mann Swallowing Ability Assessment(MASA),and Barth Scale(BI),as well as the improvement of nutritional indicators,were compared between the two groups,and complications were statistically analyzed.Result:There was no significant difference in WST,MASA,and BI scores between the two groups before intervention(P>0.05).After intervention,the SSA score in the observation group was lower than that in the control group,while the MASA and BI scores were higher than those in the control group(P<0.05).There was no statistically significant difference in nutritional status between the two groups before intervention(P>0.05).After intervention,the levels of serum albumin(ALB),hemoglobin(Hb),and serum prealbumin(PA)in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The combined use of intermittent tube feeding support intervention and tongue three needle intervention can promote swallowing function improvement and enhance quality of life in stroke patients with swallowing disorders,and has important value in reducing complications.

关 键 词：脑卒中吞咽障碍 间歇管饲支持干预 吞咽功能 生活质量 营养指标 并发症 

分 类 号：R246.6[医药卫生—针灸推拿学]