间歇性经口胃管置管鼻饲对吞咽障碍患者的影响

发布时间：2018-01-23 18:15

本文关键词： 胃管置管经口间歇鼻饲脑卒中吞咽障碍　出处：《广东医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的探讨经口间歇胃管置管鼻饲对吞咽障碍患者的影响。方法按随机数字表法将入选的患者分为观察组和对照组各20例,两组患者均给予吞咽功能训练和营养脑细胞治疗,由营养科统一配置营养均衡、无渣糊状食物;对照组采用持续经鼻胃管置管鼻饲法,观察组采用经口间歇胃管置管鼻饲法,观察30 d后患者的洼田饮水试验评分、吞咽功能疗效评定及吸入性肺炎发生情况。结果观察组患者吞咽功能改善情况、吞咽障碍疗效评定及吸入性肺炎发生情况较对照组明显提高,两者比较差异有统计学意义(P0.05)。结论间歇性经口胃管置管鼻饲法能明显改善患者的吞咽功能,减少吸入性肺炎的发生率,值得临床推广应用。
[Abstract]:Objective to investigate the effect of intermittent gastric tube nasal feeding on patients with dysphagia. Methods the patients were randomly divided into observation group (n = 20) and control group (n = 20). Two groups of patients were given swallowing function training and nutrition brain cell therapy, nutrition by nutrition department unified allocation of balanced nutrition, no residue paste food; The patients in the control group were treated with continuous nasal feeding through nasogastric tube and the patients in the observation group were treated with intermittent gastric tube nasal feeding after 30 days. Results the improvement of swallowing function, the evaluation of dysphagia and the incidence of aspiration pneumonia in the observation group were significantly higher than those in the control group. Conclusion intermittent nasal feeding through oral and gastric tubes can obviously improve the swallowing function of patients and reduce the incidence of aspiration pneumonia, which is worthy of clinical application.
【作者单位】：广东医科大学附属医院康复医学科;
【基金】：湛江市财政资金科技专项(编号:2015A01020)
【分类号】：R459.3
【正文快照】： 吞咽障碍是指由于双唇、下颌、舌、软腭、咽喉、食管等功能不同程度受损,从而使食物不能安全、顺畅地到达胃内,导致机体营养和水分缺乏的一种进食障碍,从而导致患者出现脱水、营养不良、误吸、窒息、支气管痉挛、气道阻塞、焦虑抑郁等严重并发症和出现负性情绪[1]。在脑卒中患

【相似文献】