摘要
脑卒中是一种急性脑血管病,吞咽障碍是其常见并发症,可影响患者正常进食。间歇性经口至食管管饲是协助患者进食的一种肠内营养方式,但相对于传统留置胃管,患者及家属甚至医务人员对其相关内容尚未有足够的认识。因此本文综述了间歇性经口至食管管饲的提出及应用、其在脑卒中吞咽障碍患者中应用的要素(包括实施者、导管选择、实施对象、实施步骤)、作用,并指出了该管饲方式目前存在的问题及未来的研究方向,旨在为脑卒中吞咽障碍患者提供科学的间歇性经口至食管管饲方法,以便临床推广。
Stroke is an acute cerebrovascular disease,and dysphagia is one of the common complications,which that affects patients'normal food intake.Intermittent oral-esophageal tube feeding is a kind of enteral nutrition to assist patients to eat,however,compared with the traditional continuous nasogastric tube feeding,patients,their family members and even medical staff do not pay enough attention to and discuss the feeding method.This paper reviews the proposal and application of intermittent oral-esophageal tube feeding,application factors(including implementers,catheter selection,implementers,procedure steps)and impact of intermittent oral-esophageal tube feeding in stroke patients with dysphagia,and points out the current problems and future research directions of this feeding method,aim to provide a scientific method of intermittent oralesophageal tube feeding for stroke patients with dysphagia for clinical application.
作者
高兰
郭桂丽
明晓峰
吴川杰
GAO Lan;GUO Guili;MING Xiaofeng;WU Chuanjie(Stroke Rescue Centre,Xuanwu Hospital Capital Medical University,Beijing 100053,China)
出处
《实用心脑肺血管病杂志》
2020年第9期115-118,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
国家自然科学基金资助项目(81701287)。
关键词
卒中
吞咽障碍
肠道营养
间接性经口至食管管饲
综述
Stroke
Deglutition disorders
Enteral nutrition
Intermittent oral-esophageal tube feeding
Review