延续性护理下IOE对脑卒中后吞咽障碍患者的应用  

Application of IOE in stroke patients with swallowing disorders under continuity of care

作　　者：贾颖必 张春霞[1] 王晓珍[1] JIA Yingbi;ZHANG Chunxia;WANG Xiaozhen(Department of Emergency,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang,China)

机构地区：[1]温州医科大学附属第二医院急诊科,浙江温州325000

出　　处：《中国现代医生》2025年第11期13-16,共4页China Modern Doctor

基　　金：浙江省温州市基础性科研计划项目(Y20220432)。

摘　　要：目的 探讨延续性护理支持下实施间歇经口至食管管饲法(intermittent oral to esophageal tube feeding,IOE)在脑卒中后吞咽障碍患者中的应用。方法 选取2023年1月至9月温州医科大学附属第二医院收治的100例脑卒中后吞咽障碍患者作为研究对象,采用随机数字表法分为对照组(n=50)与观察组(n=50)。对照组使用经鼻留置胃管法营养支持,观察组采用IOE干预。对比两组患者在干预前后的吞咽功能、营养指标、健康状况调查简表(item short from health survey,SF-36)评分差异及并发症发生情况。结果 干预后观察组患者的吞咽功能较对照组改善明显,差异有统计学意义(P<0.05);两组患者的营养指标均有上升,且观察组高于对照组(P<0.05);观察组患者的SF-36各项目评分均高于对照组(P<0.05);观察组患者的并发症发生率较对照组明显减少(P<0.05)。结论 延续性护理支持下实施IOE能有效提高脑卒中后吞咽障碍患者的吞咽功能,减少并发症的发生。Objective To explore application of intermittent oral to esophageal tube feeding(IOE)supported by continuity of care in stroke patients with swallowing disorders.Methods A total of 100 stroke patients with swallowing disorders admitted to the Second Affiliated Hospital of Wenzhou Medical University from January to September 2023 were selected as subjects,and they were divide into control group(n=50)and observation group(n=50)by using random number table method.Control group received nutritional support through a nasogastric tube,while observation group received IOE.Swallowing function of patients before and after intervention,nutritional indicators,item short from health survey(SF-36)scores,and incidence of complications were compared between two groups.Results After the intervention,the swallowing function of observation group improved compared to control group(P<0.05).Nutritional indicators of both groups increased,and observation group was higher than control group(P<0.05).The scores of each item on the SF-36 in observation group were higher than those in control group(P<0.05).The incidence of complications in observation group was reduced compared to control group(P<0.05).Conclusion Implementing IOE with continuity of care support can improve swallowing function of stroke patients with swallowing disorders,reduce occurrence of complications.

关 键 词：吞咽障碍 间歇经口至食管管饲法 脑卒中 综合康复训练 

分 类 号：R493[医药卫生—康复医学]