Effect of continuous enteral nutrition on the treatment effect and quality of life in stroke patients with dysphagia

Chen Ting; Chen Xueling; Wang Dan

doi:10.3969/j.issn.1006-7256.2015.22.010

Abstract：Objective:To investigate the effect of continuous enteral nutrition on the treatment effect and quality of life in patients with dysphagia. Methods:80 stroke patients with dysphagia were randomly divided into the observation group and the control group(40 cases in each group). The continuous enteral nutrition supportive therapy was used in the observation group and the traditional multiple enteral nu-trition supportive therapy was given to the patients in the control group. The incidence of complications,the score of life quality,the effec-tive rate of dysphagia treatment,mortality of inpatient and hospitalization days were observed and compared between the two groups before enteral nutrition supportive therapy and in one week and 2 weeks after enteral nutrition supportive therapy. Results:The incidence of enteral nutrition related complications and the occurrence rate of vomiting,regurgitation and aspiration were significantly lower in the observation group than the control group(P < 0. 05);the nutritional indexes of the patients such as hemoglobin,prealbumin,albumin and lymphocyte count were significantly higher in the observation group than the control group after one week and 2 weeks of nasal feeding(P < 0. 05);the scores of quality of life of the patients were higher after 2 weeks of nasal feeding than those before nasal feeding in the two groups(P < 0. 05);the scores of quality of life of the patients were higher in the observation group than the control group after 2 weeks of nasal feeding(P< 0. 05);the effective rate was higher in the observation group than the control group(P < 0. 05);the hospitalization time and mortality of inpatient were significantly lower in the observation group than the control group(P < 0. 05). Conclusion:Compared with the traditional enteral nutrition supportive method,the continuous enteral nutrition supportive therapy can improve the nutritional level and treatment effi-ciency,reduce the incidence of complications and mortality,shorten the length of hospital stay and improve the quality of life of the pa-tients.