Clinical effect of intermittent oro-esophageal tube feeding combined with hyperbaric oxygen therapy on patients with dysphagia after stroke
10.3760/cma.j.cn311847-20200228-00072
- VernacularTitle:间歇性管饲结合高压氧治疗对脑卒中后吞咽障碍患者的临床疗效观察
- Author:
Minghong WANG
1
;
Xiao BAO
1
;
Fang LI
1
;
Huiyu LIU
1
Author Information
1. 512025 广东省韶关，粤北人民医院康复医学科
- Publication Type:Journal Article
- Keywords:
Intermittent oro-esophageal tube feeding;
Hyperbaric oxygen;
Stroke;
Dysphagia
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2020;27(6):699-703
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical effect of intermittence oro-esophageal tube feeding (IOE) combined with hyperbaric oxygen (HBO) therapy on patients with dysphagia after stroke.Methods:A total of 93 patients with dysphagia after stroke admitted to the Department of Rehabilitation Medicine of Yue Bei People’s Hospital from November 2017 to January 2020 were selected as the subjects of the study and randomly divided into 3 groups ( n=31) according to random number table method: group A (IOE+ HBO group), group B (HBO group), and group C (IOE group). All patients received conventional stroke drug therapy and functional training, including hemiplegic limb comprehensive training, exercise therapy, physical factor therapy, and daily activity training. After 4 weeks, all patients were evaluated by the modified mann assessment of swallowing ability (MMASA), standardized swallowing assessment (SSA), functional oral intake scale (FOIS), and Fugl-Meyer assessment (FMA) for motor functioning on the changes before and after intervention. Results:The scores of MMASA, SSA, and FOIS in the 3 groups were compared before and after intervention, and the differences were statistically significant ( P<0.05). Then the scores of MMASA, SSA, and FOIS of the 3 groups were compared with each other after treatment, and the differences were statistically significant ( P<0.05). After treatment, the improvement of dysphagia in the group A was more obvious than those in the group B and C ( P<0.05). The FMA results after intervention were significantly improved in the 3 groups compared with those before intervention ( P<0.05). The FMA results after treatment in the group A and B were significantly improved than that in the group C, respectively ( P<0.05). The incidence of aspiration pneumonia in each group was 6.1%, 19.3%, and 38.7%, respectively. The incidence of aspiration pneumonia in the group A was significantly lower than those in the other two groups ( P<0.05). Conclusion:Intermittent oro-esophageal tube feeding combined with hyperbaric oxygen therapy after stroke can improve dysphagia and the patient’s motor functioning, and reduce the incidence of aspiration pneumonia.
