| 司马振奋,龚剑秋,马兰.间歇经口管饲法对脑卒中后吞咽障碍患者营养状况及情绪状态的影响[J].中国康复,2021,36(7):405-408 |
| 间歇经口管饲法对脑卒中后吞咽障碍患者营养状况及情绪状态的影响 |
| Effects of intermittent oral gavage on nutritional status and emotional status of patients with dysphagia after stroke |
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| DOI： |
| 中文关键词: 间歇管饲 营养状况 情绪状态 吞咽障碍 脑卒中 |
| 英文关键词: intermittent tube feeding nutritional status emotional status dysphagia stroke |
| 基金项目:绍兴市2018年度科技计划（医卫类）项目“基于VFSS评估的间歇经口管饲干预卒中后吞咽障碍患者的临床研究”（2018C30102）；2019年绍兴市科技计划专项项目“心脑血管重大疾病核心技术研发与推广”（2019B24004） |
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| 中文摘要: |
| 目的：探讨应用间歇经口置管至食道管饲法干预脑卒中后吞咽障碍患者的营养状况及情绪状态的影响。方法：将符合要求的42例脑卒中后吞咽障碍患者随机分成对照组和观察组，其中对照组22例，观察组20例，对照组给予长期留置鼻饲，观察组予间歇经口置管至食道管饲。治疗前及治疗4周后分别观察2组患者的营养状况及情绪状态，营养状况采用血清总蛋白数值、血清白蛋白数值及体重指数评估，情绪状态采用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评定。结果：干预4周后，观察组血清总蛋白、白蛋白数值及体重指数均较干预前显著提高（P＜0.05），对照组血清总蛋白、白蛋白数值较治疗前明显提高（P＜0.05）,观察组患者血清白蛋白数值较对照组显著增高（P＜0.05）。干预4周后，观察组HAMA、HAMD评分均较干预前明显降低（P＜0.05），对照组HAMD评分较干预前明显降低（P＜0.05），观察组HAMA评分明显低于对照组（P＜0.05）。结论：间歇经口置管至食道管饲法能兼顾脑卒中后吞咽障碍患者的营养状况及情绪状态，可在保障患者营养的前提下，改善患者可能存在的焦虑状态。 |
| 英文摘要: |
| Objective: To investigate whether intermittent tube feeding intervention in patients with dysphagia after stroke has a positive effect on the nutritional status and emotional status of patients. Methods: Totally, 42 patients with dysphagia after stroke were randomly divided into control group and observation group. Among them, 22 cases in the control group were given long-term nasal feeding, and 20 cases were given intermittent oral to esophageal tube feeding in the observation group. The nutritional status and emotional status of the two groups were observed before intervention and after 4 weeks of intervention. Nutritional status was evaluated by total protein value, albumin value and body mass index. Emotional status was assessed using Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD). Results: After 4 weeks of intervention, total protein, albumin value and body mass index in the observation group were significantly increased as compared with those before intervention (P<0.05). The total protein and albumin value in the control group were significantly increased as compared with those before intervention after 4 weeks of intervention (P<0.05). The albumin value in the observation group was significantly increased as compared with that in the control group after 4 weeks of intervention (P<0.05). After 4 weeks of intervention, HAMA and HAMD scores in the observation group were significantly lower than those before intervention (P<0.05). HAMD score in the control group was significantly lower than that before intervention (P<0.05) after 4 weeks of intervention. HAMA score in the observation group was significantly lower than that in the control group (P<0.05) after 4 weeks of intervention. Conclusion: Intermittent tube feeding can improve the nutritional status and emotional status of patients with dysphagia after stroke, and can relieve patients’ anxiety under the premise of ensuring their nutrition. |
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