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| 间歇胃管置管喂养法营养支持联合预见性护理治疗脑卒中中重度吞咽障碍的疗效 |
| The effect of intermittent oral to esophageal tube feeding nutritional support combined with predictive nursing in the treatment of stroke dysphagia and its influence on patients' comfort |
| 投稿时间：2021-03-25 修订日期：2021-03-25 |
| DOI： |
| 中文关键词: 间歇胃管置管喂养法 预见性护理 脑卒中 吞咽障碍 舒适度 |
| 英文关键词: Intermittent oral to esophageal tube feeding predictive nursing stroke dysphagia comfort |
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| 中文摘要: |
| 目的 探讨间歇胃管置管喂养法营养支持联合预见性护理治疗脑卒中吞咽障碍患者的疗效。方法 选取2019年6月1日～2021年6月30日我院收治的脑卒中致吞咽障碍患者80例为研究对象，依据治疗和干预方式的不同将患者分为常规组（n=40，采用持续留置鼻胃管法进行营养支持和常规护理干预）和观察组（n=40，采用间歇胃管置管喂养法进行营养支持和预见性护理干预），比较两组患者疗效、不良反应以及舒适度。结果 观察组患者吞咽功能恢复明显优于常规组，且与常规组比较，观察组总有效率明显提升（P<0.05）。与常规组比较，观察组患者肺炎、消化腔出血、食物反流、鼻粘膜损伤等不良反应发生率明显降低（P<0.05）。与常规组比较，观察组鼻腔疼痛、咽喉疼痛以及吞咽疼痛评分明显降低（P<0.05）。结论 间歇胃管置管喂养营养支持联合预见性护理治疗脑卒中中重度吞咽障碍患者具有较高的疗效，有效降低治疗过程中的不良反应，提升治疗的舒适度。 |
| 英文摘要: |
| Objective: To investigate the effect of intermittent oral to esophageal tube feeding nutritional support combined with predictive nursing in the treatment of stroke patients with dysphagia and its influence on patients' comfort. Method: 80 patients with dysphagia caused by stroke admitted to our hospital from June 1, 2019 to December 31, 2021 were selected as the research objects. According to the different treatment and intervention methods, the patients were divided into the conventional group (n = 40, nutritional support and routine nursing intervention by continuous indwelling nasogastric tube) and the experimental group (n = 40, nutritional support and predictive nursing by intermittent oral to esophageal tube feeding) The efficacy, adverse reactions and comfort of the two groups were compared. Results: The swallowing function recovery of the experimental group was significantly better than that of the conventional group, and compared with the conventional group, the total effective rate of the experimental group was significantly improved (P<0.05). Compared with the conventional group, the incidence of pneumonia, gastrointestinal bleeding, food reflux, nasal mucosal injury and other adverse reactions in the experimental group was significantly lower (P<0.05). Compared with the conventional group, the scores of nasal pain, throat pain and swallowing pain in the experimental group were significantly lower (P<0.05).Conclusion: Intermittent oral to esophageal tube feeding nutritional support combined with predictive nursing in the treatment of stroke patients with dysphagia has a higher curative effect, which can reduce the adverse reactions in the process of treatment and improve the comfort of treatment. |
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