间歇性耳食管养在缺血性中风后的腹膜麻中的影响:一项随机对照研究
Hongji Zeng1, Weijia Zhao1, Junfa Wu2
1School of Public Health, Zhengzhou University, China (H.Z., W.Z.).
Stroke
|March 21, 2024
概括
间歇性耳食管养 (IOE) 是比鼻胃管养 (NG) 更安全,更有效的方法,可以改善营养状况,吞,并减少腹筋的缺血性中风患者的肺炎和抑郁症.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 康复医学 康复医学 康复医学
背景情况:
- 鼻胃管养 (NG) 是常见的气囊性后缺血性中风,但有营养不良和肺炎的风险.
- 间歇性口腔食道养 (IOE) 为减轻这些风险提供了一个潜在的替代方案.
研究的目的:
- 为了比较IOE与NG养的临床有效性.
- 为了评估对营养状况的影响,吞功能,肺炎和抑郁症在缺血性中风患者的气囊性.
主要方法:
- 一项随机对照研究,涉及148名患有腹筋麻后缺血性中风的患者.
- 参与者分为IOE (n=74) 和NG (n=74) 组,接受标准护理和吞康复.
- 主要结局包括体重指数,白蛋白和前白蛋白;次要结局评估吞功能,肺炎,抑郁症和不良事件.
主要成果:
- 与NG组相比,IOE组显示营养标志物 (专蛋白,专蛋白前,BMI) 显著改善.
- IOE还导致了更好的吞功能 (FOIS,透吸收量表),并显著减少了与中风相关的肺炎和抑郁症的发生率.
- 在IOE组中报告的不良事件较少.
结论:
- 间歇性耳食管养 (IOE) 是一种比鼻胃管养 (NG) 更安全,更有效的营养支持方法,用于患有缺血性中风后气囊性的患者.
- IOE促进了更好的营养状况,吞功能,并减少了肺炎和抑郁症的发生率.
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