摘要目的?探讨间歇性经口至胃管饲法在高龄吞咽功能障碍患者中的临床应用效果.方法?采用便利抽样法,选择2016年5月—2018年2月在浙江省人民医院老年康复科住院的高龄吞咽功能障碍患者66例,按照随机数字表法分为试验组和对照组.对照组实施鼻胃管管饲法,试验组实施间歇性经口至胃管饲法,比较两组患者误吸程度、吞咽功能疗效及营养状况.最终完成研究的共60例患者,试验组和对照组各30例.结果? 治疗3个月后,试验组患者均为Ⅰ～Ⅱ度误吸,对照组Ⅲ度及以上误吸患者有3例,两组误吸程度比较差异有统计学意义(Z=-3.227,P＜0.05).两组吞咽功能康复有效率试验组高于对照组,差异有统计学意义(Z=-3.158,P＜0.05);试验组血清白蛋白(47.17±3.28)g/L、前蛋白(0.32±0.08)g/L,均高于对照组(t值分别为10.500、3.677;P＜0.05).结论? 间歇性经口至胃管饲法能够提高患者吞咽功能,降低误吸程度,改善营养状况,值得临床推广应用.

abstractsObjective? To explore the clinical effects of intermittent oral gastrogavage in aged patients with dysphagia. Methods? Totally 66 aged patients with dysphagia hospitalized in the Department of Rehabilitation Medicine, Zhejiang Provincial People's Hospital between May 2016 and February 2018 were selected using convenient sampling and divided into the treatment group and the control group according to the random number table. Patients in the control group received nasogastric tube feeding, while patients in the treatment group received intermittent oral gastrogavage. The degree of aspiration, the effects on deglutition function and nutrition were compared between the two groups. Finally, totally 60 patients in the treatment group (n=30) and the control group (n=30) completed the study. Results? After 3 months, patients in the treatment group showed Class Ⅰ-Ⅱ aspiration, while 3 patients in the control group were found with Class Ⅲ or Ⅳaspiration (Z=-3.227,P＜ 0.05). The rehabilitation efficiency of deglutition function of the treatment group was higher than that of the control group (Z=-3.158,P＜0.05). The serum albumin and the pro-protein of the treatment group was (47.17±3.28) g/L and (0.32±0.08) g/L respectively, both higher than those of the control group (t=-10.500, 3.677; P＜ 0.05). Conclusions? Intermittent oral gastrogavage can enhance the patients' deglutition function, reduce their aspiration levels and improve their nutritional status, which is worth promoting in clinical practice.