联合吞咽评估在急性脑卒中患者 早期肠内营养中的应用研究
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简雪琴,女,主管护师,主要从事脑血管病科的工作。

中图分类号:

R 473.74

基金项目:

新余市科技计划项目(20233090889)


Application of Combined Swallowing Assessment in Early Enteral Nutrition in Patients with Acute Stroke
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    摘要:

    摘 要目的:探讨在急性脑卒中患者早期肠内营养中采取联合吞咽评估的应用效果。 方法:选取 2023 年 1 月 至 2024 年 1 月新余市人民医院收治的急性脑卒中患者 94 例,均进行早期肠内营养,采用随机数字表法分为对照组和 观察组,各 47 例。对照组采取洼田饮水试验评估,观察组在对照组基础上联合容积 – 黏度吞咽测试(V–VST)评估, 两组均持续干预观察 4 周。比较两组患者吞咽功能、营养状况、并发症发生率、生活质量。 结果:干预后,观察组患 者功能性经口进食量表(FOIS)评分较对照组高,差异具有统计学意义(P < 0.05)。干预后,观察组患者血红蛋白、 血清白蛋白、血清总蛋白水平较对照组高,差异具有统计学意义(P < 0.05)。观察组患者并发症总发生率低于对照 组,差异具有统计学意义(P < 0.05)。干预后,观察组患者各维度健康调查简表(SF–36)评分较对照组高,差异 具有统计学意义(P < 0.05)。 结论:在急性脑卒中患者早期肠内营养中采取联合吞咽评估,有助于改善患者吞咽功 能,提升其营养状况水平,降低并发症发生风险,促进患者生活质量提升。

    Abstract:

    AbstractObjective To investigate the effect of combined swallowing assessment in early enteral nutrition in patients with acute stroke. Methods A total of 94 patients with acute stroke admitted to Xinyu People's Hospital from January 2023 to January 2024 were selected to receive early enteral nutrition, and were divided into a control group and an observation group by random number table method, with 47 cases in each group. The control group was evaluated by the lowland drinking water test, and the observation group was evaluated by the volume-viscosity swallow test (V-VST) on the basis of the control group. Both groups were continuously observed for 4 weeks. The swallowing function, nutritional status, complication rate and quality of life were compared between the two groups. Results After intervention, the functional oral intake scale (FOIS) score of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After intervention, the levels of hemoglobin, serum albumin and serum total protein in the observation group were higher than those in the control group, and the differences were statistically significant (P < 0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). After intervention, the all dimensions scores of 36-item short form health survey (SF-36) in the observation group were higher than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion Combined swallowing assessment in early enteral nutrition of acute stroke patients is helpful to improve swallowing function, improve nutritional status, reduce the risk of complications, and promote the quality of life of patients.

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  • 收稿日期:2024-04-09
  • 在线发布日期: 2024-09-12
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