《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (12): 1104-1106.

• 论文 • 上一篇    下一篇

两种管饲法对脑卒中吞咽障碍的效果

黄绍春，仇海燕，邵伟波   

  1. 南京医科大学附属脑科医院康复医学科，江苏南京市210029。
  • 收稿日期:2012-09-03 修回日期:2012-10-23 出版日期:2012-12-25 发布日期:2012-12-25
  • 通讯作者: 邵伟波

Effect of Different Types of Tube Feeding on Swallowing Function for Stroke Patients

HUANG Shao-chun, QIU Hai-yan, SHAO Wei-bo.   

  1. Nanjing Brain Hospital, Nanjing 210029, Jiangsu, China
  • Received:2012-09-03 Revised:2012-10-23 Published:2012-12-25 Online:2012-12-25

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摘要： 目的探讨两种管饲方法对脑卒中后吞咽功能的影响。方法将60 例急性缺血性脑卒中患者分为对照组和观察组各30 例。在康复训练的基础上，对照组给予留置鼻胃管法进行营养支持，观察组同时给予间歇性口胃管营养法进行营养支持。收集两组患者入院24 h 内及30 d 的洼田饮水试验及吞咽障碍的程度评分(VGF)。结果入院30 d，观察组洼田饮水试验、VGF评分优于对照组(P<0.05)。结论采取间歇性口胃管营养法可以对脑卒中吞咽功能改善起到积极的作用。

关键词: 间歇性口胃管营养法, 鼻胃管, 脑卒中, 吞咽障碍, 管饲

Abstract: Objective To evaluate the effect of different types of tube feeding on swallowing function of stroke patients. Methods 60 patients with dysphagia post stroke were divided into observation group and control group with 30 cases in each group. The control group received indwelling nasogastric tube feeding, and the observation group received intermittent nasogastric tube feeding. They were assessed with Kubota Water Swallow Test (WST) and VGF on the 1st day and 30th day after admission. Results The scores of drinking test and VGF were better in the observation group than in the control group (P<0.05) on the 30th day. Conclusion Long-term nasogatric tube feeding is effective on dysphagia in stroke patients.

Key words: intermittent nasogastric tube feeding, nasalgastric tube, stroke, dysphagia, tube feeding