摘要
目的:研究间歇性经口至食管管饲法联合康复训练对脑卒中后吞咽障碍患者病耻感、营养状态及吞咽功能的影响。方法:选取2019年1月—2021年12月南阳市第二人民医院收治的150例脑卒中后吞咽障碍患者作为研究对象,按照随机分配原则分为实验组和对照组,每组各75例。对照组患者接受常规护理治疗模式,实验组患者行间歇性经口至食管管饲法联合康复训练模式,比较两组患者治疗效果,比较干预前、干预后两组患者病耻感程度、吞咽功能评分及营养状态评分情况。结果:干预后,实验组患者病耻感程度评分均低于对照组患者,差异有统计学意义(t=73.613、177.429、30.003,P<0.05)。干预后,两组患者洼田饮水试验评分、标准吞咽功能评定量表(SSA)评分均低于干预前,差异有统计学意义(P<0.05)。实验组患者干预后营养风险筛查2002(NRS2002)评分低于对照组患者,差异有统计学意义(t=8.717,P<0.05)。结论:间歇性经口至食管管饲法联合康复训练应用于脑卒中后吞咽障碍患者中,对于改善患者吞咽功能具有显著的临床效果,且能够降低患者的病耻感,改善患者的营养状况,减少不良反应的发生。
Objective:To observe the effect of intermittent oral-to-esophageal tube feeding combined with rehabilitation training on stigma,nutritional status and swallowing function in patients with dysphagia after stroke.Methods:A total of 150 patients with post-stroke dysphagia admitted to the hospital from January 2019 to December 2021 were selected for the study,and were divided into two groups according to the principle of random distribution,with 75 cases in each group.The control group was treated with routine nursing treatment mode,and the experimental group was treated with intermittent sexual oral-to-esophageal tube feeding combined with rehabilitation training mode.The therapeutic effects of the two groups based on the degree of stigma,the score of swallowing function and the score of nutritional status of the patients before and after treatment were compared.Results:The degree of stigma of patients in the experimental group was lower than that in the control group,with statistically significant difference(t=73.613,177.429,30.003;P<0.05).After intervention,there were statistically significant difference in Watian Drinking Water Test Score and SSA Score(P<0.05).Nutrition Risk Screening 2002(NRS2002)Scale in the experimental group were significantly reduced,with statistically significant difference(t=8.717,P<0.05).Conclusion:Intermittent oral to esophageal tube feeding combined with rehabilitation training applied to dysphagia after stroke has significant clinical effect on improving patients’wallowing function,and can reduce patients’sense of shame,improve patients’nutritional status,and reduce the occurrence of adverse reactions,which is of clinical significance.
作者
邓子方
Deng Zifang(Department of Neurology,Nanyang Second People’s Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2024年第11期1370-1372,共3页
Heilongjiang Medical Journal
关键词
间歇性经口至食管管饲法
康复训练
病耻感
营养状态
脑卒中后吞咽障碍
吞咽功能
Intermittent oral-to-esophageal tube feeding
Rehabilitation training
Stigma
Nutritional status
Dysphagia after stroke
Swallowing function
