摘要
Abstract
Objective To investigate the effects of evidence-based stratified swallowing rehabilitation strategy combined with dynamic nutrition management on swallowing function and nutritional status in elder-ly stroke patients.Methods A total of 198 elderly stroke patients in our hospital from January 2024 to Febru-ary 2025 were selected and randomly divided into a control group(99 cases)and an observation group(99 ca-ses)using a random envelope method.The control group received conventional rehabilitation intervention combined with dynamic nutrition management,while the observation group received evidence-based stratified swallowing rehabilitation strategy in addition to the intervention given to the control group.The Gugging Swallowing Screen(GUSS),Eating Assessment Tool-10(EAT-10),Mini-Nutritional Assessment Short-Form(MNA-SF)scores,serum prealbumin(PA)level,grip strength,and incidence of adverse events were compared between the two groups.Results After intervention,the GUSS and EAT-10 scores in both groups improved compared with those before intervention,and the observation group showed better Results than the control group,with statistically significant differences(P<0.05).After intervention,the MNA-SF scores,serum PA level,and grip strength in both groups were higher than those before intervention,and the observation group had higher values than the control group,with statistically significant differences(P<0.05).Regarding the in-cidence of aspiration and other adverse events,the total incidence in the observation group was 5.05%,which was lower than that in the control group(13.13%),with a statistically significant difference(P<0.05).Con-clusion Evidence-based stratified swallowing rehabilitation strategy combined with dynamic nutrition man-agement can improve swallowing function and nutritional status in elderly stroke patients and reduce the risk of adverse events such as aspiration.关键词
脑卒中/老年/吞咽康复分层策略/动态营养管理Key words
Stroke/Elderly/Stratified swallowing rehabilitation strategy/Dynamic nutrition management分类
医药卫生
