| Objective：To explore the effect of intermittent tube feeding (IOE）combined with acupoint massage on swallowing function and quality of life in patients with dysphagia after stroke. Methods：A total of 112 stroke patients with swallowing disorders were selected as the research subjects and randomly divided into 4 groups, A to D, with 28 cases in each group. Group A received long-term indwelling gastric tube feeding, group B received IOE, group C received long-term indwelling gastric tube feeding combined with acupoint massage, and group D received IOE combined with acupoint massage. The swallowing function, nutritional status, and quality of life of patients in the four groups were observed before and after the intervention for 4 weeks. Results：After 4 weeks of intervention, the SSA score, SWAL-QOL score, albumin value and hemoglobin value in the four groups were significantly improved (P<0.05). The SSA score in group D was lower than that in groups A, B and C (P<0.05). The SSA scores in groups B and C were lower than those in group A (P<0.05). The albumin level, hemoglobin level and SWAL-QOL score in the group D were higher than those in groups A, B and C (P<0.05). The levels of albumin and hemoglobin in the group B were higher than those in groups A and C (P<0.05). SWAL-QOL scores in groups B and C were higher than those in the group A (P<0.05). During the intervention period, there was no inhalation pneumonia in groups B and D, and the incidence of inhalation pneumonia in groups A and C was 14.29% (4/28) and 7.14% (2/28), respectively, and there was significant difference in the incidence of inhalation pneumonia among the 4 groups (χ2=7.918, P<0.05). Conclusion: Intermittent tube feeding combined with acupoint massage can promote the recovery of swallowing function in stroke patients, ensure nutritional supply and improve their quality of life. |
