Clinical application of intermittent oral gastrogavage in aged patients with dysphagia
10.3760/cma.j.issn.1674-2907.2019.10.011
- VernacularTitle: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
- Author:
Lingxiao LI
1
;
Zhiyan HU
;
Lin XIONG
;
Lingdi LOU
Author Information
1. 浙江省人民医院康复医学科,杭州 310014
- Keywords:
? Dysphagia;
? Aged;
? Intermittent oral gastrogavage;
? Nasogastric tube feeding
- From:
Chinese Journal of Modern Nursing
2019;25(10):1237-1240
- CountryChina
- Language:Chinese
-
Abstract:
Objective? 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.
