摘要
Abstract
Objective To study the effect of blind insertion nasoenteric tube enteral feeding(EN)on the nutritional status and prognosis of patients with stroke combined with dysphagia(DAS).Methods 78 cases of DAS patients in our hospital were selected as the subjects of this experiment,and all the included subjects were divided into the nasoenteric tube group(n=39)and the nasogastric tube group(n=39)according to the method of randomized numerical table.The nasogastric tube group used nasogastric tube EN,and the nasoenteric tube group used blind insertion nasoenteric tube EN.Nutritional status[albumin(Alb),hemoglobin(Hb),transferrin(TF),prealbumin(PA)],prognosis[Fugl-Meyer Motor Function Assessment Scale(FMA)scores,Barthel Index(BI)scores],and the rate of complication were compared between the two groups before and after treatment.Results After treatment,Alb,Hb,TF,and PA levels were higher in the nasoenteric tube group compared with the nasogastric tube group(P<0.05);FMA score and BI score were higher in the nasoenteric tube group compared with the nasogastric tube group after treatment(P<0.05);and complications were lower in 1 case(2.56%)in the nasoenteric tube group compared with 8 cases(20.51%)in the nasogastric tube group(P<0.05).Conclusion Blind nasoenteric tube EN used in DAS patients can achieve good therapeutic effects,which is conducive to improving the nutritional index of patients,restoring their ability to exercise and activities of daily living,improving the prognosis,and the risk of complications is low.关键词
脑卒中/吞咽障碍/肠内喂养/盲插鼻肠管/营养状况/预后Key words
Stroke/dysphagia/enteral feeding/blind nasoenteric tube/nutritional status/prognosis分类
医药卫生
