摘要
目的:探讨吞咽功能障碍患者应用间歇性经口管饲法对管饲相关并发症的影响。方法:选取2015年5月~2017年6月因脑卒中引起吞咽功能障碍而在我院接受治疗的80例患者,按随机数字表法等分为观察组和对照组。观察组患者接受间歇经口管饲进食法,对照组患者接受常规的留置胃管进食法。对两组患者在接受治疗1个月后的营养情况、管饲并发症、生活质量水平进行评估。结果:接受治疗后观察组患者各项营养状况改善的幅度显著高于对照组(P<0.05)。观察组患者吸入性肺炎发生情况明显低于对照组(P<0.05),但两组患者腹泻、焦虑不安、便秘、水电解质紊乱等并发症发生情况经比较差异无统计学意义(P>0.05)。观察组在接受治疗后各项生活质量评分及总分显著高于治疗前(P<0.05),且观察组各项生活质量评分及总分均显著高于对照组(P<0.05)。结论:间歇经口管饲技术在吞咽功能障碍患者中的应用效果较好,能保证患者营养,减少误吸等并发症,能有效恢复吞咽能力,提高患者舒适度和生活质量。
Objective: To explore the effect of intermittent intubation feeding through mouth on intubation complications for patients with swallowing dysfunction. Methods: To select 80 cases of patients with swallowing dysfunction caused by stroke cured in our hospital from May 2015 to June 2017,and divide them into observation group and control group according to random number table method. Observation group was given intermittent intubation feeding through mouth,while control group was given routine gastric intubation feeding. After one month treatment,compare and estimate patients' nutrition condition,intubation complications,quality of life between the two groups. Results: After treatment,nutrition condition of patients in observation group was obviously better than that in control group( P < 0. 05). Occurrence of aspiration pneumonia in observation group was apparently lower than that in control group( P < 0. 05). Compare patients' diarrhea,anxiety,constipation,disturbance of water and electrolyte,but there was not statistical significance( P >0. 05). In observation group,each item score relating to quality of life and total scores after treatment were obviously higher than those before treatment( P< 0. 05). Each item score relating to quality of life and total scores in observation group were obviously higher than those in control group( P < 0. 05). Conclusion: Intermittent intubation feeding could create excellent application effect for patients with swallowing dysfunction,ensure patients nutrition,reduce complications such as aspiration,and effectively recover patients' swallowing ability and improve their comfort and quality of life.
出处
《护理实践与研究》
2018年第2期157-159,共3页
Nursing Practice and Research
基金
广东省惠州市市级科研项目(2016Y180)
关键词
间歇性经口管饲
吞咽功能障碍
管饲并发症
生活质量
Intermittent intubation feeding through mouth
Swallowing dysfunction
Tube feeding complications
Quality of life
