The application of intermittent oro-esophageal tube feeding in cerebral hemorrhage patients undergoing tracheotomy
10.3760/cma.j.issn.0254-1424.2022.12.005
- VernacularTitle:间歇经口至食管管饲法在脑出血后气管切开患者中的临床应用
- Author:
Danyang WANG
1
;
Liugen WANG
;
Junfeng YANG
;
Heping LI
;
Xi ZENG
Author Information
1. 郑州大学第一附属医院康复医学科，郑州 450052
- Keywords:
Tube feeding;
Cerebral hemorrhage;
Tracheotomy;
Malnutrition
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(12):1079-1083
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of intermittent oral-esophageal tube feeding (IOE) on cerebral hemorrhage (CH) survivors receiving a tracheotomy.Methods:A total of 126 CH patients undergoing tracheotomy were randomly divided into an IOE group ( n=65) and a nasogastric tube feeding (NGT) group ( n=61). The feeding continued for 4 weeks along with medication and thorough rehabilitation interventions (including hemiplegic limb training, swallowing training, and pulmonary function training). Before and after the treatment, the body mass index, hemoglobin, albumin, proalbumin, creatinine height index, extubation rate and intubation time of the tracheotomy, as well as the incidence of complications were evaluated for both groups. Both groups were also assessed using the clinical pulmonary infection scale (CPIS) and National Institutes of Health stroke scale (NIHSS). Results:After the 4 weeks the nutrition indexes, average extubation rate (90.76%) and intubation time [(15.96±3.86)d], CPIS score (3.00±1.69), NIHSS score (11.86±4.08) and the overall incidence of complications in the IOE group were all significantly better than the NGT group′s averages.Conclusions:Where feasible, intermittent oro-esophageal tube feeding is superior to nasogastric tube feeding of cerebral hemorrhage patients undergoing tracheotomy. It reduces the risk of pulmonary infection and other complications, resulting in early removal of the tracheotomy cannula and quicker recovery.
