杨俊锋,陈亚男,高伟琪,等.间歇经口至食管管饲法对脑小血管病吞咽障碍患者的影响[J].中华物理医学与康复杂志,2020,42(8):694-697
扫码阅读全文
|
| 间歇经口至食管管饲法对脑小血管病吞咽障碍患者的影响 |
|
| |
| DOI：10.3760/cma.j.issn.0254-1424.2020.08.005 |
| 中文关键词: 脑小血管病 间歇经口至食管管饲法 吞咽障碍 肠内营养 生活质量 |
| 英文关键词: Cerebral small vessel disease Tube feeding Dysphagia Enteral nutrition Quality of life |
| 基金项目:河南省科技厅项目（152102310054） |
|
| 摘要点击次数: 3142 |
| 全文下载次数: 3735 |
| 中文摘要: |
| 目的 观察间歇经口至食管管饲法（IOE）对脑小血管病（CSVD）吞咽障碍患者的影响。 方法 将60例CSVD吞咽障碍患者随机分为实验组和对照组，每组30例。两组患者均在基础治疗上给予常规吞咽功能训练，实验组采用IOE，对照组采用鼻胃管饲法（NG）。入院24 h（治疗前）和2周时（治疗2周时），对两组患者的视频透视吞咽检查（VFSS）评分、功能性经口摄食量表（FOIS）分级、体重指数（BMI）、血清白蛋白(Alb)、血红蛋白(Hb)、肺炎发生率、改良Barthel指数（MBI）评分进行评估。 结果 治疗前，2组患者VFSS评分、FOIS分级、BMI、Alb、Hb、肺炎发生率、MBI及WHOQOL-BREF评分比较，差异无统计学意义（P＜0.05）。与组内治疗前比较，2组患者上述指标均有所改善，且实验组治疗后VFSS评分［（8.22±2.20）分］、FOIS分级、BMI［（19.1±1.5）kg/m2］、Alb［（36.0±4.1）g/L］、Hb［（117.1±10.2）mg/L］、肺炎发生率、MBI［（50.3±14.3）分］及WHOQOL-BREF评分［（62.5±9.6）分］均优于对照组，差异有统计学意义（P＜0.05）。 结论 IOE较NG更能改善CSVD吞咽障碍患者的营养状况及吞咽功能，有助于提高其ADL能力和生活质量。 |
| 英文摘要: |
| Objective To observe the effect of intermittent oro-esophageal tube feeding (IOE) on dysphagia patients with cerebral small vessel disease. Methods Sixty such patients were randomly divided into an experimental group (n=30) and a control group (n=30). In addition to the routine basic treatment and swallowing function training, the control group was given nasogastric tube feeding, while the experimental group was provided with IOE. Before and after two weeks of the treatment the swallowing function and nutritional status of both groups were evaluated along with the incidence of pneumonia, ability in the activities of daily living and general quality of life. Results Before the intervention, there were no significant differences between the two groups in any of the measurements. Afterward significant improvements were observed in all of the measurements in both groups, but the experimental group had improved significantly more than the control group in terms of each measure. Conclusions IOE is superior to NG in improving the nutrition and swallowing function of patients with dysphagia and cerebral small vessel disease. It betters their ability in daily life activities and their quality of life. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
