| Objective: To investigate the effects of intermittent oro-esophageal tube feeding (IOE) and intermittent oro-gaster tube feeding (IOG) on nutritional status, swallowing function and pulmonary infection in stroke patients with dysphagia. Methods: 180 patients with dysphagia following stroke in department of neurology were randomly and equally divided into IOE group, IOG group and control group (persistent nasogastric tube). After treatment, nutrition index, swallowing function and pulmonary infection among three groups were compared. Results: After treatment for 14 days, nutrition index, quality of life and swallowing function in the three groups were significantly improved as compared with those pre-treatment (all P<0.05), and those in the IOE group and IOG group were improved more significantly than in the control group (all P<0.05), but there was no significant difference between IOE group and IOG group. After treatment, the total effective rate in IOE group and IOG group was significantly higher than in the control group (P<0.05), but there was no significant difference between IOE group and IOG group. In the course of treatment, the incidence of complication in IOE group and IOG group was significantly lower than in the control group (P<0.05), but there was significant difference between IOE group and IOG group (P>0.05). Conclusion: IOE can increase clinical effects of stroke patients with dysphagia, improve swallowing function, quality of life and nutritional status, reduce the complication rate of aspiration and inhalation pneumonia, and it is worth of clinical generalization. |
