| Objective: To study the value of percutaneous endoscopic gastrostomy in the treatment of dysphagia in stroke patients. Methods: Sixty patients with dysphagia following stroke were randomly divided into two groups according to the digital table method, 30 cases in each group. The study group received swallowing function training after percutaneous endoscopic gastrostomy, and the control group received swallowing training under nasogastric tube feeding. Body mass index (BMI), serum total protein, albumin and hemoglobin levels were recorded before and after the treatment. Standardized Swallow Assessment (SSA) was performed, the extubation and complications were observed at first month, and the incidence of digestive tract hemorrhage, aspiration pneumonia and reflux esophagitis was observed. Results: One month after treatment, the levels of BMI, serum total protein, albumin and hemoglobin in the two groups were significantly higher than those before treatment (P<0.05). The levels of serum total protein, albumin and hemoglobin in the study group were significantly higher than those in the control group (P<0.05), but there was no significant difference in BMI between the two groups. The incidence of complications in the study group was significantly lower than that in the control group (P<0.05), and the extubation rate was significantly higher in the study group than that in the control group (P<0.05). After treatment, the experimental scores of Watian drinking water in the two groups were significantly higher, and SSA scores were significantly lower than those before treatment (both P<0.05), and the improvement of the scores in the study group was significantly greater than that in the control group (P<0.05). Conclusion: Early percutaneous endoscopic gastrostomy has obvious effect on dysphagia following stroke, can improve nutritional status and quality of life, and reduce complications, and has high safety. |
