摘要
目的探讨间歇经口管饲方法对脑卒中后吞咽功能障碍者营养状况及脱水状态的研究。方法便利选择2021年11月—2022年11月在连云港市第一人民医院神经内科和神经外科病房就诊的88例脑卒中且卒中后发生吞咽功能障碍的患者进行研究,采用随机数表法分为对照组和观察组,每组44例。对照组给予增稠的经口进食方法,观察组给予间歇经口管饲方法,治疗前和治疗后两周分别比较两组患者的营养状况及脱水状态。结果干预后,两组体质指数对比,差异无统计学意义(P>0.05),观察组的白蛋白和总蛋白高于对照组,差异有统计学意义(P<0.05)。对照组血浆渗透压数值(297.82±1.99)mmol/L,高于观察组(283.55±9.55)mmol/L,差异有统计学意义(t=9.683,P<0.05)。结论间歇经口管饲法可在保障患者营养状况的前提下,改善患者可能存在的脱水状态。
Objective To explore the study of intermittent oral tube feeding method on the nutritional status and dehydration status of post-stroke swallowing dysfunction patients.Methods From November 2021 to November 2022,88 stroke patients with dysphagia after stroke who were treated in the Department of Neurology and Neurosurgery of Lianyungang First People's Hospital were conveniently selected for the study.They were divided into control group and observation group by random number table method,44 cases in each group.The control group was given a thickened oral feeding method,and the observation group was given an intermittent oral tube feeding method.The nutritional status and dehydration status of the two groups were compared before and two weeks after treatment.Results There was no statistically significant difference in body mass index between the two groups after intervention(P>0.05).The albumin and total protein in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The plasma osmotic pressure value of the control group(297.82±1.99)mmol/L was higher than that of the observation group(283.55±9.55)mmol/L,and the difference was statistically significant(t=9.683,P<0.05).Conclusion Intermittent oral tube feeding can improve the possible dehydration of patients under the premise of guaranteeing the nutritional status of patients.
作者
杜燕
郭蒙
杨玉芹
DU Yan;GUO Meng;YANG Yuqin(Department of Neurosurgery,Lianyungang First People's Hospital,Lianyungang,Jiangsu Province,222000 China)
出处
《中外医疗》
2023年第24期35-38,42,共5页
China & Foreign Medical Treatment
关键词
脑卒中
间歇经口管饲
营养
脱水
吞咽功能障碍
Stroke
Intermittent oral feeding
Nutrition
Dehydration
Swallowing dysfunction
