基于吞咽功能筛查的饮食安全管理在后颅窝肿瘤病人中的应用
摘要
[目的]探讨基于规范化吞咽功能筛查的饮食安全管理方案在后颅窝肿瘤病人中的应用效果。[方法]将42例神经外科后颅窝肿瘤手术病人随机分为观察组和对照组,每组21例。观察组实施基于吞咽功能筛查的饮食安全管理方案,对照组实施常规护理,比较其吞咽功能异常检出率、吞咽功能改善情况、胃管留置时间。[结果]观察组吞咽功能异常检出率和吞咽功能改善总有效率高于对照组(P<0.05),观察组胃管留置时间较对照组缩短。[结论]采用基于规范化吞咽功能筛查的饮食安全管理方案对后颅窝肿瘤病人实施干预,有利于早期发现吞咽功能障碍,促进病人吞咽功能障碍的改善与康复,缩短胃管留置时间。
引文
[1]韩璐,张雪青.颅神经电生理监测在后颅窝肿瘤手术中的应用[J].中华医学杂志,2015,95(17):1345-1346.
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[6]叶燕平.进食安全管理在脑卒中吞咽障碍所致误吸的临床护理效果探讨[J].吉林医学,2017,38(5):994-995.
[7]朱凌云,汤丽萍,束玲玲.早期护理干预在听神经瘤术后吞咽功能障碍患者饮食护理中的作用[J].实用临床医药杂志,2015,19(2):44-46.
[8]朱美红,时美芳,万里红,等.吞咽-摄食管理预防脑卒中吞咽障碍患者相关性肺炎的研究[J].中华护理杂志,2016,51(3):294-298.
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[11] ANDREW R D,SIOUXZY S M,MICHAEL J B,et al.A multicenter,randomized controlled trial comparing early nasojejunal with nasogastric nutrition in critical illness[J]. Crit Care Med,2012,40(8):2342-2348.
[12] MCCLAVE S A,MARTINDALE R G,VANEK V W,et al.Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient:Society of Critical Care Medicine(SCCM)and American Society for Parenteral and Enteral Nutrition(ASPEN)[J].J Parenter Enteral Nutr,2009.33(3):277-316.
[13] MACLAREN R.Intolerance to intragastric enteral mutrition in critically ill patients:complications and management[J]. Pharmacotherapy,2000,20(12):1486-1498.
[14]李佳,牛蓓蓓,肖倩,等.神经外科ICU机械通气患者胃内容物误吸的危险因素分析[J].中华现代护理杂志,2017,23(15):2041-2045.
[15]张璐,郎黎薇,金煜峰,等.后颅窝肿瘤患者术后吞咽障碍的早期护理干预[J].中华护理杂志,2016,51(5):539-542.
[16]徐红波,邵伟华,范松华,等.间歇口腔-胃管营养法对卒中后吞咽功能障碍疗效的Meta分析[J].齐齐哈尔医学院学报,2017,39(8):872-875.
[2]黄冠又,张俊廷,吴震,等.小脑桥脑角脑膜瘤显微外科治疗及面听神经保护[J].中华神经外科杂志,2012,28(7):674-677.
[3] AACN Practice Alert. Prevention of aspiration in adults[J]. CritCare Nurse,2016,36(1):e20-e24.
[4] KOLLEF M H.Review of recent clinical trials of hospital-acquiredpneumonia and ventilator-associated pneumonia:a perspectivefrom academia[J].Clin Infect Dis,2010,51(Suppl 1):S29-S35.
[5]任琳,郎黎薇,殷志雯.增加吞咽功能筛查频次对减少桥小脑角肿瘤患者手术后吸入性肺炎的作用[J].中华护理杂志,2014,49(3):284-286.
[6]叶燕平.进食安全管理在脑卒中吞咽障碍所致误吸的临床护理效果探讨[J].吉林医学,2017,38(5):994-995.
[7]朱凌云,汤丽萍,束玲玲.早期护理干预在听神经瘤术后吞咽功能障碍患者饮食护理中的作用[J].实用临床医药杂志,2015,19(2):44-46.
[8]朱美红,时美芳,万里红,等.吞咽-摄食管理预防脑卒中吞咽障碍患者相关性肺炎的研究[J].中华护理杂志,2016,51(3):294-298.
[9] MCCLAVE S A,TAYLOR B E,MARTINDALE R G,et al.Guidelines forthe provision and assessment of nutrition support therapy in theadult critically ill patient:society of critical care medicine(SCCM)and American Society for Parenteral and Enteral Nutrition(ASPEN)[J].JPEN J Parenter Enteral Nutr,2016,40(2):159-211.
[10]刘欣敏,高岚.预防重症脑卒中患者误吸的集束化干预护理培训效果分析[J].中国实用护理杂志,2016,32(11):826-830.
[11] ANDREW R D,SIOUXZY S M,MICHAEL J B,et al.A multicenter,randomized controlled trial comparing early nasojejunal with nasogastric nutrition in critical illness[J]. Crit Care Med,2012,40(8):2342-2348.
[12] MCCLAVE S A,MARTINDALE R G,VANEK V W,et al.Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient:Society of Critical Care Medicine(SCCM)and American Society for Parenteral and Enteral Nutrition(ASPEN)[J].J Parenter Enteral Nutr,2009.33(3):277-316.
[13] MACLAREN R.Intolerance to intragastric enteral mutrition in critically ill patients:complications and management[J]. Pharmacotherapy,2000,20(12):1486-1498.
[14]李佳,牛蓓蓓,肖倩,等.神经外科ICU机械通气患者胃内容物误吸的危险因素分析[J].中华现代护理杂志,2017,23(15):2041-2045.
[15]张璐,郎黎薇,金煜峰,等.后颅窝肿瘤患者术后吞咽障碍的早期护理干预[J].中华护理杂志,2016,51(5):539-542.
[16]徐红波,邵伟华,范松华,等.间歇口腔-胃管营养法对卒中后吞咽功能障碍疗效的Meta分析[J].齐齐哈尔医学院学报,2017,39(8):872-875.