盲插鼻肠管肠内喂养对脑卒中合并吞咽障碍患者营养状况及预后的影响

doi:10.3969/j.issn.1001-8131.2025.05.005

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摘要目的研究盲插鼻肠管肠内喂养（EN）对脑卒中合并吞咽障碍（DAS）患者营养状况及预后的影响。方法选取我院DAS病人78例作为本次实验对象,按随机数字表法将所有纳入对象分为鼻肠管组（n=39）和鼻胃管组（n=39）。鼻胃管组实施鼻胃管EN,鼻肠管组实施盲插鼻肠管EN。对比两组治疗前后营养状况[白蛋白（Alb）、血红蛋白（Hb）、转铁蛋白（TF）、前白蛋白（PA）]、预后情况[Fugl-Meyer运动功能评定量表（FMA）评分、Barthel指数（BI）评分]及并发症发生率。结果治疗后与鼻胃管组相比,鼻肠管组Alb、Hb、TF、PA水平较高（P<0.05）;治疗后与鼻胃管组相比,鼻肠管组FMA评分、BI评分较高（P<0.05）;鼻肠管组并发症较鼻胃管组低（P<0.05）。结论盲插鼻肠管EN用于DAS患者中能取得良好的治疗效果,有利于提高患者营养指标,恢复其运动和日常生活活动能力,改善预后情况,且出现并发症的风险较低。

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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

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.

Key words： Stroke dysphagia enteral feeding blind nasoenteric tube nutritional status prognosis

收稿日期: 2025-05-19

PACS:

R743.33

引用本文:

薛培, 张欢. 盲插鼻肠管肠内喂养对脑卒中合并吞咽障碍患者营养状况及预后的影响[J]. 哈尔滨医药, 2025, 45(5): 15-17.
Xue Pei, Zhang Huan. The Effect of Enteral Feeding with Blind Insertion of Nasoenteric Tube on the Nutritional Status and Prognosis of Patients with Stroke Combined with Dysphagia. journal1, 2025, 45(5): 15-17.

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http://www.hrbyybjb.org.cn/CN/10.3969/j.issn.1001-8131.2025.05.005 或 http://www.hrbyybjb.org.cn/CN/Y2025/V45/I5/15

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