The effects of intermittent oro-esophageal tube feeding on post-stroke dysphagia
10.3760/cma.j.cn421666-20250407-00309
- VernacularTitle:间歇性经口至食管管饲对脑卒中后吞咽障碍影响的软管喉镜吞咽功能评估
- Author:
Fang ZHOU
1
;
Yan MA
1
;
Rui SUN
1
;
Xue CHENG
1
;
Na QIAO
1
;
Qing BAO
1
;
Xiaoyun WANG
1
Author Information
1. 武汉市第一医院康复医学科，武汉 430030
- Publication Type:Journal Article
- Keywords:
Nasogastric tube feeding;
Oro-esophageal tube feeding;
Endoscopic swallowing evaluation;
Nasogastric tube syndrome
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(10):901-905
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effects of intermittent oro-esophageal tube feeding (IOE) and nasogastric tube feeding (NGT) on nutritional status, complications, swallowing function and airway protection in persons with post-stroke dysphagia (PSD).Methods:Sixty PSD patients were randomized into an observation group ( n=30) and a control group ( n=30). In addition to conventional medication and swallowing rehabilitation, the observation group received supplemental IOE nutrition, while the control group was given NGT. Before and after one month, both groups were evaluated using the Functional Oral Intake Scale (FOIS), and such nutritional indicators as body mass index (BMI), hemoglobin (Hb) levels, albumin (ALB), prealbumin (PAB), skinfold at the triceps (TSF) and arm muscle circumference (AMC) were measured. The morphology of each subject′s epiglottis, any edema of the arytenoid mucosa and vocal cord mobility were assessed using fiberoptic endoscopic evaluation of swallowing (FEES). Murray Secretion Scale ratings were documented, along with laryngeal sensation during swallowing, swallowing reflex, the Yale Pharyngeal Residue Severity Rating Scale, and the Rosenbek Penetration-aspiration Scale. Results:Both groups showed significant improvement in their average FOIS scores and all of the nutritional descriptors, but with significantly greater improvement in the observation group. Abnormalities in the shape of the epiglottis, arytenoid edema and vocal cord mobility had decreased significantly in both groups. This was also true of larynx sensation, swallowing reflex, pharyngeal secretions, residue and penetration/aspiration. On average the improvements were significantly greater in the observation group.Conclusion:Compared with NGT, IOE more effectively improves swallowing, enhances airway functioning and reduces NGT syndrome among PSD patients. These observations support its clinical adoption.
