Effects of swallowing function rehabilitation exercise on swallowing function and gastric tube removal rate in patients with stroke and nasal feeding / 中国基层医药
Chinese Journal of Primary Medicine and Pharmacy
;
(12): 1020-1024, 2021.
Article
in Chinese
| WPRIM
| ID: wpr-909166
ABSTRACT
Objective:
To investigate the effects of swallowing function rehabilitation exercise on swallowing function and gastric tube removal rate in patients with stroke during the period of nasal feeding.Methods:
A total of 60 patients with stroke who received treatment in Jinhua Hospital of Traditional Chinese Medicine, China between May 2016 and May 2019 were included in this study. They were randomly assigned to receive either conventional clinical treatment (control group, n = 30) or swallowing function rehabilitation exercise combined with conventional clinical treatment (observation group, n = 30) for 4 weeks. Clinical efficacy, swallowing function, daily oral intake, gastric tube removal rate within 30 days, and quality of life score were compared between the control and observation groups.Results:
Total clinical effective rate in the observation group was significantly higher than that in the control group [96.67% (27/30) vs. 70.00% (21/30), χ2 = 7.680, P = 0.006]. Swallowing function in the observation group was graded 1 ( n = 7), 2 ( n = 12), 3 ( n = 8), and 4 ( n = 3). Swallowing function in the control group was graded 2 ( n = 5), 3 ( n = 10), 4 ( n = 8) and 5 ( n = 7). There was significant difference in swallowing function between the two groups ( Z = 17.105, P = 0.001). The gastric tube removal rate within 30 days in the observation group was significantly higher than that in the control group (86.67% vs. 50.00%, t = 9.320, P = 0.002). The daily oral intake and quality of life score in the observation group were (558.62 ± 12.62) mL/d, (83.62 ± 4.58) points, (84.52 ± 4.14) points, (83.25 ± 4.29) points, (82.26 ± 3.46) points, (83.62 ± 3.62) points, (82.49 ± 3.55) points, (81.45 ± 3.52) points, (82.55 ± 3.64) points, respectively, which were significantly higher than those in the control group [(309.54 ± 8.16) mL/d, (70.06 ± 2.62) points, (71.52 ± 4.01) points, (71.16 ± 3.84) points, (72.16 ± 3.76) points, (71.26 ± 2.46) points, (70.26 ± 2.44) points, (71.56 ± 3.55) points, (72.33 ± 3.05) points, t = 90.780, 14.076, 12.354, 11.608, 10.826, 15.468, 15.550, 10.835, 11.787, all P < 0.05].Conclusion:
Swallowing function rehabilitation exercise can improve the swallowing function of stroke patients during nasal feeding, promote the early recovery of swallowing function, increase gastric tube removal rate, increase food intake, and improve the quality of life and prognosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Prognostic study
Language:
Chinese
Journal:
Chinese Journal of Primary Medicine and Pharmacy
Year:
2021
Type:
Article
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