临床医学工程2025，Vol.32Issue(9)：947-950,4.DOI:10.3969/j.issn.1674-4659.2025.09.0947
吞咽刺激仪结合肠内营养支持干预对脑卒中后吞咽障碍患者吞咽功能及营养状况的影响
Influence of Swallowing Stimulator Combined with Enteral Nutrition Support Intervention on Swallowing Function and Nutritional Status of Patients with Post-stroke Dysphagia
摘要
Abstract
Objective To explore the influence of swallowing stimulator combined with enteral nutrition support intervention on swallowing function and nutritional status of patients with post-stroke dysphagia.Methods 100 patients with post-stroke dysphagia admitted to the Fifth Affiliated Hospital of Zhengzhou University from January 2022 to December 2024 were selected and randomly divided into reference group(n=50)and study group(n=50).In addition to routine treatment,the reference group was given enteral nutrition support intervention,and the study group was given swallowing stimulator combined with enteral nutrition support intervention.The swallowing function[standard swallowing function assessment scale(SSA)score,acute stroke dysphagia screening(ASDS)score,water swallowing test(WST)score],video flurography(VFG)results,nutritional status[pre albumin(PA),total protein(TP)and hemoglobin(Hb)levels],and occurrence of adverse events were compared between the two groups.Results After intervention,the SSA,ASDS and WST scores of the two groups were lower than those before intervention,while the SSA,ASDS and WST scores of the study group were lower than those of the reference group(P＜0.05).After intervention,the swallowing duration of the two groups was shorter than that before intervention,and the swallowing amplitude was higher than that before intervention,while the swallowing duration of the study group was shorter than that of the reference group,and the swallowing amplitude was higher than that of the reference group(P＜0.05).After intervention,the PA,TP and Hb levels of the two groups were higher than those before intervention,while the PA,TP and Hb levels of the study group were higher than those of the reference group(P＜0.05).The total incidence of adverse events in the study group was 4.00％,lower than 20.00％in the reference group(P＜0.05).Conclusions The swallowing stimulator combined with enteral nutrition support intervention can significantly promote the recovery of swallowing function in patients with post-stroke dysphagia,shorten the swallowing duration of patients,improve the nutritional and health status of patients,and reduce the occurrence risk of adverse events such as choking cough and aspiration.关键词
脑卒中/吞咽障碍/吞咽刺激仪/肠内营养支持/吞咽功能/营养状况Key words
Stroke/Dysphagia/Swallowing stimulator/Enteral nutrition support/Swallowing function/Nutritional status分类
医药卫生引用本文复制引用
贾传宇,王舒阳,李宇辉..吞咽刺激仪结合肠内营养支持干预对脑卒中后吞咽障碍患者吞咽功能及营养状况的影响[J].临床医学工程,2025,32(9):947-950,4.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20190412) （LHGJ20190412）
