间歇性经口管饲在吞咽功能障碍患者中的应用效果

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Abstract Objective To discuss the application effect of intermittent oral tube feeging in patients with swallowing dysfunction.Methods A total of 60 patients with chronic consciousness disorder and swallowing disorder admitted in Guangdong Industrial Injury Rehabilitation Hospital from January 2019 to December 2020 were selected and divided into the control group and the observation group according to random number table method, 30 cases in each group.The control group used conventional feeding method, the observation group was fed by intermittent feeding through oral tube,comparison of swallowing function of both groups(improved mann swallowing capacity assessment scale[MASA],fiber nasopharyngeal larynthroscopy swallowing function examination [FEES]), nutritional status (constitution index [BMI], triceps fold thickness [TSF], hemoglobin [Hb], the serum total protein [TP], albumin [ALB]), and complications.Results After treatment, the MASA, FEES score of the observation group were higher than those of the control group, the differences were statistically significant (P＜0.05).After treatment, the BMI, TSF, ALB, Hb, TP of the observation group were higher than those in the control group, the differences were statistically significant (P＜0.05).The incidence of inhaled pneumonia in the observation group (3.33%) was lower than that of the control group (23.33%), the difference was statistically significant (P＜0.05).There were no significant differences between the incidence of diarrhea, constipation,hydroelectrolyte disorder and anxiety (P＞0.05).Conclusion Intermittent oral tube feeding is used in patients with swallowing dysfunction, which can improve their swallowing dysfunction and have high application value.

Key words： Intermittent oral tube feeding Swallowing dysfunction Tube feeding-related complications Nutrition Aspiration pneumonia

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	Articles by authors
	ZHANG Chun-hua
	FANG-Lu
	OUYANG Hui
	SHI Hui
	ZHENG Wei-hong

Cite this article:

ZHANG Chun-hua,FANG-Lu,OUYANG Hui, et al. Application effect of intermittent oral tube feeding in patients with swallowing dysfunction[J]. 中国当代医药, 2021, 28(29): 49-52.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I29/49

[1]	邬丽娜，姚美珍，刘君，等.IOE 在促进脑卒中后吞咽功能障碍康复中的应用[J].中国现代医生，2021，59（11）:180-183.
[2]	张榆晨，安晓梅，杨继妮.间歇性经口至食管管饲法对脑卒中后吞咽障碍患者病耻感的影响[J].神经损伤与功能重建，2018，14（6）：296-298.
[3]	郭园丽，郭丽娜，王爱霞，等.间歇经口管饲法对脑卒中吞咽障碍患者舒适度及吞咽功能的影响[J].中华现代护理杂志，2018，24（3）：305.
[4]	刘美青，刘小菁，吴建芬，等.间歇性经口至食管管饲技术在脑卒中合并吞咽功能障碍患者中的应用[J].中国当代医药，2020，27（3）：210-212
[5]	陈和禾，祝飞虹，许美飞，等.早期吞咽功能训练对脑卒中气管切开患者快速康复的影响[J].中国全科医学，2020，23（S2）：235-237.
[7]	窦祖林，温红梅，吞咽障碍评估与治疗[M].北京：人民卫生出版社，2017.
[8]	杨剑，蒋朱明，于康，等.GLIM 营养不良评定（诊断）标准共识（2018）的探讨和分析[J].中华临床营养杂志，2019，27（1）：1-5.
[9]	胡丽娜.高龄脑梗死吞咽障碍患者鼻饲饮食并发症的预防及护理[J].中国社区医师，2019，35（3）：162，164.
[10]	杨红英，杨桂云，肖文香，等.间歇性管饲技术联合常规吞咽康复训练在改善脑卒中吞咽障碍患者吞咽功能和减少并发症发生率中的作用[J].中国医学创新，2019，16（21）：151-155.
[6]	American Academy of Neurology．Medical aspects of the persistent vegetative state （1）．The Multi-Society Task Force on PVS[J]．N Engl J Med，1994，330（21）：1499-1508．
[11]	李莎，鄂建设，秦彩红.吞咽障碍患者生活质量调查及其影响因素分析[J].重庆医学，2017，46（27）：3816-3818.
[12]	王留根，范杰诚，王健，等.间歇经口至食管管饲法对延髓背外侧综合征所致吞咽障碍患者的临床观察[J].肠外与肠内营养，2017，24（3）：164-167.
[13]	张秀琳，陈文媛，黄惠芳.吞咽功能障碍患者应用间歇性经口鼻饲法对管饲相关并发症的影响[J].护理实践研究，2018，15（2）：157-159.
[14]	袁绘，于龙娟，谢珊，等.神经肌肉电刺激联合吞咽法治疗急性缺血性脑卒中后吞咽障碍的疗效分析[J].第二军医大学学报，2018，39（9）：122-125.
[15]	李晨露，程云，赵丽蓉，等.经鼻胃管喂养临床实践指南的临床应用[J].中华护理杂志，2017，52（8）：905-910.
[16]	张秀淋，郑璇燕，邓艳红，等.经口间歇管饲对脑卒中后吞咽障碍患者的营养状态及生活质量的影响[J].山西医药杂志，2017，46（12）：1415-1418.
[17]	陈平，蔡志华，严建荣.经口或经鼻至食道管饲法应用于脑卒中后吞咽障碍患者的临床效果及对并发症发生的影响[J].中国医学创新，2020，17（32）：107-110.
[18]	黄倩玲，冯云，陈锦玲，等.经口间歇性管饲法配合吞咽功能训练在中重度吞咽障碍患者中的应用[J].齐鲁护理杂志，2020，26（1）：100-103.