肠内营养在脑卒中吞咽障碍合并焦虑患者中的价值分析

doi:10.3760/cma.j.cn441417-20240701-08016

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (8): 1306-1310.DOI: 10.3760/cma.j.cn441417-20240701-08016

肠内营养在脑卒中吞咽障碍合并焦虑患者中的价值分析

马源吴冰莉张世珂李灿灿王子亮

河南省人民医院卒中中心脑血管病科河南省护理医学重点实验室河南大学人民医院，郑州 450000

收稿日期:2024-07-01 出版日期:2025-04-15 发布日期:2025-04-20
通讯作者: 李灿灿，Email：mabajin@163.com
基金资助:
河南省医学科技攻关计划联合共建项目（SBGJ202102026）

Enteral nutrition support combined with swallowing training for stroke patients with swallowing disorders and psychological anxiety

Ma Yuan, Wu Bingli, Zhang Shike, Li Cancan, Wang Ziliang

Cerebrovascular Department of Stroke Center, Henan Provincial People's Hospital, Henan Provincial Key Medicine Laboratory of Nursing, Henan University People's Hospital, Zhengzhou 450000, China

Received:2024-07-01 Online:2025-04-15 Published:2025-04-20
Contact: Li Cancan, Email:mabajin@163.com
Supported by:
Co-construction Project of Problem-tackling Plan of Medical Science and Technology in Henan (SBGJ202102026)

摘要/Abstract

摘要：

目的　探究脑卒中吞咽障碍合并焦虑患者应用肠内营养的价值。方法　采用回顾性研究，于2020年6月至2023年12月，选取河南省人民医院130例脑卒中吞咽障碍合并焦虑患者，按照治疗方法不同分为对照组与研究组，各65例。对照组男37例、女28例，年龄（62.00±11.05）岁，脑卒中轻度27例、中度25例、重度13例，轻度焦虑36例、中度19例、重度10例；研究组男35例、女30例，年龄（65.00±11.05）岁，脑卒中轻度38例、中度15例、重度12例，轻度焦虑35例、中度18例、重度12例。对照组进行吞咽训练治疗，研究组在对照组的基础上行肠内营养支持治疗，对比两组临床疗效、营养指标、预后效果、免疫功能指标、焦虑情绪及并发症发生率，统计学比较采用t、χ²检验。结果　治疗后研究组总有效率为95.38%（62/65），高于对照组［81.54%（53/65）］，差异有统计学意义（P<0.05）。治疗后，研究组患者营养指标［血红蛋白（Hb）、白蛋白（ALB）、总蛋白（TP）及前白蛋白（PA）］、Brathel及Fugl-Meyer运动功能评分、免疫功能指标（IgA、IgG及IgM）均高于对照组，NIHSS、SAS、SDS评分与并发症发生率均低于对照组，差异均有统计学意义（均P<0.05）。结论　应用肠内营养支持能有效改善吞咽训练对脑卒中吞咽障碍合并焦虑患者的营养状况，缓解焦虑情绪，且并发症较少，安全性高。

关键词:

肠内营养, 脑卒中吞咽障碍, 焦虑, 吞咽训练

Abstract:

Objective　To explore the value of enteral nutrition support combined with swallowing training for stroke patients with dysphagia and psychological anxiety. Methods　A retrospective study was conducted to select 130 stroke patients with swallowing disorder combined with anxiety in Henan Provincial People's Hospital from June 2020 to December 2023, and divided them into control group and study group according to different treatment methods, with 65 cases in each group. There were 37 males and 28 females in the control group; they were (62.00±11.05) years old; there were 27 mild cases, 25 moderate cases, and 13 severe cases; there were 38 cases of mild anxiety, 15 cases of moderate anxiety, and 12 cases of severe anxiety. there were 35 males and 30 females in the study group; they were (65.00±11.05) years old; there were 38 mild cases, 25 moderate cases, and 12 severe cases; There were 35 cases of mild anxiety, 18 cases of moderate anxiety, and 12 cases of severe anxiety. The control group did swallowing training; in addition, the study group took enteral nutrition support. The clinical efficacies, nutritional indicators, prognostic effects, immune function indicators, anxiety, and incidence rates of complications were compared between the two groups by t and χ² tests. Results　After the treatment, the total effective rate of the study group was 95.38% (62/65), which was higher than that of the control group [81.54% (53/65)], and the difference was statistically significant (P<0.05). After the treatment, the nutritional indicators [hemoglobin (Hb), albumin (ALB), total protein (TP), and prealbumin (PA)], Brathel score, Fugl Meyer motor function score, and immune function indicators (IgA, IgG, and IgM) in the study group were higher than those in the control group; the scores of NIHSS, SAS, and SDS and incidence rate of complications in the study group were lower than those in the control group (all P<0.05). Conclusion　Enteral nutrition support combined with swallowing training for stroke patients with swallowing disorders and psychological anxiety can improve their nutritional status and alleviate their anxiety, have fewer complications, and is safe.

Key words:

Enteral nutrition, Stroke dysphagia, Anxiety, Swallowing , training

马源吴冰莉张世珂李灿灿王子亮.

肠内营养在脑卒中吞咽障碍合并焦虑患者中的价值分析 [J]. 国际医药卫生导报, 2025, 31(8): 1306-1310.

Ma Yuan, Wu Bingli, Zhang Shike, Li Cancan, Wang Ziliang.

Enteral nutrition support combined with swallowing training for stroke patients with swallowing disorders and psychological anxiety [J]. International Medicine and Health Guidance News, 2025, 31(8): 1306-1310.

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肠内营养在脑卒中吞咽障碍合并焦虑患者中的价值分析

Enteral nutrition support combined with swallowing training for stroke patients with swallowing disorders and psychological anxiety

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