IOE联合“开窍利咽按摩法”在脑卒中后吞咽障碍患者康复护理中的应用与观察-国际护理学研究-CSCIED科技核心评价数据库-手机版

IOE联合“开窍利咽按摩法”在脑卒中后吞咽障碍患者康复护理中的应用与观察

Application and observation of IOE combined with "open-throat massage method"in rehabilitation care of patients with dysphagia after stroke

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DOI	10.12208/j.ijnr.20230169
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2023, 5(4)
作者	覃金艳*,
作者单位	右江民族医学院附属医院广西百色 ;
摘要	观察间歇性经口至食管管饲法（IOE）联合“开窍利咽按摩法”在脑卒中后吞咽障碍患者康复护理中的应用效果。方法选取康复医学科收治的100例脑卒中后吞咽障碍患者，采用随机数字表法分为观察组（间歇性经口至食管管饲法（IOE）联合“开窍利咽按摩法”组）和对照组（普通留置胃管喂养），每组各50例。均连续干预4周。比较两组干预前及干预4周后的吞咽功能[采用Rosenbek渗透-误吸量表（PAS）评分]、吞咽障碍程度（VGF）评分、生活质量[采用吞咽障碍特异性生活质量量表（SWAL-QOL）评估]，统计干预期间并发症发生情况。结果干预4周后，两组PAS评分较干预前降低，VGF评分较治疗前升高，且观察组PAS评分低于对照组，VGF评分高于对照组，差异有统计学意义（P＜0.05）；两组干预4周后SWAL-QOL评分均较干预前升高，且观察组高于对照组，差异有统计学意义（P＜0.05）；两组干预期间的并发症总发生率比较，差异无统计学意义（P＞0.05）。结论脑卒中后吞咽障碍患者在康复护理期间采用间歇性经口至食管管饲法（IOE）联合“开窍利咽按摩法”，可提高患者康复护理疗效，患者生活质量及吞咽功能均明显改善，值得临床应用推广。
Abstract	Objective To observe the application effect of intermittent oral-to-esophageal feeding (IOE) combined with "open-minded pharyngeal massage" in the rehabilitation nursing of patients with dysphagia after stroke. Methods A total of 100 patients with dysphagia after stroke admitted to the Department of Rehabilitation Medicine were divided into observation group (intermittent oral-to-esophageal feeding (IOE) combined with "open pharyngeal massage") and control group (ordinary indwelling gastric tube feeding) and 50 cases in each group. All were continuously intervened for 4 weeks. The swallowing function [Rosenbek osmosis-aspiration scale (PAS) score], swallowing disorder degree (VGF) score, and quality of life [assessed by swallowing disorder-specific quality of life scale (SWAL-QOL)] were compared between the two groups before and after the intervention, and the incidence of complications during the intervention was statistically measured. Results After 4 weeks of intervention, the PAS score of the two groups was lower than that before the intervention, the VGF score was higher than that before treatment, and the PAS score of the observation group was lower than that of the control group, and the VGF score was higher than that of the control group, with a statistically significant difference (P<0.05), the SWAL-QOL score of the two groups after 4 weeks of intervention was higher than that before the intervention, and the observation group was higher than that of the control group (P<0.05), and the total incidence of complications during the intervention period between the two groups was not statistically significant (P>0.05). Conclusion During rehabilitation nursing for patients with dysphagia after stroke, intermittent oral to esophageal tube feeding (IOE) combined with "opening orifice and nourishing pharynx massage" can improve the curative effect of rehabilitation nursing, and the quality of life and swallowing function of patients are significantly improved, which is worthy of clinical application and promotion.
关键词	间歇性经口至食管管饲法（IOE）；“开窍利咽按摩法”；脑卒中；吞咽障碍
KeyWord	Intermittent oral to esophageal feeding (IOE); "Opening orifice and benefiting pharynx massage method"; Cerebral apoplexy; dysphagia
基金项目
页码	65-68

参考文献
相关文献

[1] 陈娇,张小培,林满秋.基于微信平台的健康促进随访模式在脑卒中合并吞咽障碍患者中的应用
[J].中国医药导报,2017,23(7):2611-2615.

[2] Smith EE, Kent DM, Bulsara KR, et al. Effect of DysphagiaScreening Strategies on Clinical Outcomes After Stroke: ASystematic Review for the 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke
[J].Stroke, 2018,49(3): e1 40.

[3] Oh DH, Park JS, Kim WJ. Effect of neuromuscular elec-trical stimulation on lip strength and closure function inpatients with dysphagia after stroke
[J]. J Phys Ther Sci, 2017,29(11):1974-1975.

[4] 王珊珊,顾莹,刘敏,等.舌压抗阻反馈训练联合神经肌肉电刺激治疗神经性吞咽障碍的疗效观察
[J].中华物理医学与康复杂志,2020,42(4):322-324.

[5] 罗蕾蕾,吴鸣,范连彬,等.针刺结合穴位按摩法在脑卒中吞咽康复中的应用研究
[J].中国临床保健杂志,2019, 22(6):839-841.

[6] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南 2018
[J].中华神经科杂志,2018,51(9):666-682.

[7] 窦祖林.吞咽功能障碍的评估与治疗
[M].北京:人民卫生出版社,2009:87.

[8] Steele CM, Grace-Martin K. Reflections on Clinical and Statistical Use of the Penetration-Aspiration Scale
[J]. Dysphagia, 2019,32(5):601-616.

[9] 夏文广,郑婵娟,华强,等.吞咽障碍评价标准评定脑卒中后吞咽障碍患者的信度和效度分析
[J].中华物理医学与康复杂志,2019,31(12):817-819.

[10] 谭嘉升,丘卫红,刘中良,等.中文版吞咽生命质量量表信度和效度的研究
[J].中华物理医学与康复杂志,2019, 38(9):669-673.

引用本文

覃金艳*. IOE联合“开窍利咽按摩法”在脑卒中后吞咽障碍患者康复护理中的应用与观察 [J]. 国际护理学研究. 2023; 5; (4). 65 - 68.

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