摘要
目的 比较老年吞咽障碍患者应用两种肠内营养方式的疗效。方法 选取我院2020年01月-2021年01月收治的80例老年吞咽障碍患者，依据不同肠内营养方式分为实验组与对照组，每组40例。对照组患者采用持续泵入输注方式，实验组采用序贯式肠内营养供给方式，对比两组并发症发生率、营养指标、吞咽功能改善情况。结果 实验组并发症发生率较低；治疗后营养指标高于对照组；吞咽功能改善总有效率高于对照组，P＜0.05。结论 老年吞咽障碍患者应用序贯式肠内营养供给方式进行治疗，可有效降低患者并发症发生率，提高影响营养指标，改善吞咽功能，具有临床应用价值。
关键词： 老年吞咽障碍；持续泵入输注；序贯式肠内营养供给；临床疗效；营养指标
Abstract
Objective: To compare the efficacy of two enteral nutrition methods in elderly patients with dysphagia. Methods: 80 elderly patients with dysphagia treated in our hospital from January 2020 to January 2021 were divided into experimental group and control group according to different enteral nutrition, with 40 cases in each group. The patients in the control group were treated with continuous pump infusion, and the patients in the experimental group were treated with sequential enteral nutrition. The incidence of complications, nutritional indicators and the improvement of swallowing function were compared between the two groups. Results: the incidence of complications was low in the experimental group; After treatment, the nutritional index was higher than that of the control group; The total effective rate of swallowing function improvement was higher than that of the control group (P < 0.05). Conclusion : the use of sequential enteral nutrition in the treatment of elderly patients with dysphagia can effectively reduce the incidence of complications, improve nutritional indicators, and improve swallowing function, which has clinical application value.
Key words： Senile dysphagia; Continuous pump infusion; Sequential enteral nutrition supply; Clinical efficacy; nutritional indicator
参考文献 References
[1] 徐迅科,翁迎峰,张金明,等.肠内营养混悬液肠内营养支持在老年性痴呆合并吞咽障碍患者治疗中的应用[J].中国药物与临床,2021,21(2):261-263.
[2] 马小民,张新峰,刘自双,等.经皮内镜下胃造瘘联合肠内营养剂、冰刺激治疗吞咽障碍的疗效分析[J].现代消化及介入诊疗,2021,26(1):82-85.
[3] 代元春,霍艳梅.经口间歇置管肠内营养对脑卒中吞咽障碍老年患者血清营养学指标及吞咽功能的影响[J].中国疗养医学,2021,30(9):996-998.
[4] 邹敏,陈茜,余欢,等.间歇性经口管饲技术在老年吞咽障碍患者中的应用现状分析[J].世界最新医学信息文摘（连续型电子期刊）,2020,20(71):78-79.
[5] 程美玲,马学英,王庆华,等.序贯式肠内营养在脑梗死伴吞咽障碍老年患者中的应用[J].齐鲁护理杂志,2020, 26(9): 22-24.
[6] 代萍,兰慧杰,牛骏菁.吞咽功能训练联合间歇性管饲技术应用于老年脑卒中后神经性吞咽障碍的效果观察[J].实用中西医结合临床,2020,20(14):50-51,57.
[7] 徐卉,张颖敏,沈志强,等.不同营养模式对老年脑卒中营养不良患者营养状态与免疫功能的影响[J].浙江医学,2019,41(3):272-274.
[8] 黄上萌,兰文斌,易志刚,等.两种鼻饲法对老年痴呆伴吞咽障碍患者肠内营养相关并发症的影响[J].中华老年医学杂志,2018,37(8):907-908.
[9] 顾南媛,陈宁,吕华瑶,等.鼻肠管肠内营养联合吞咽康复训练对脑卒中的疗效分析[J].浙江临床医学,2018, 20(6): 1055-1056.