Effect of intermittent nasogastric feeding on patients with severe traumatic brain injury and dysphagia

WU Chao; LU Ai-lan; CHEN Qiao-ge

doi:10.16766/j.cnki.issn.1674-4152.002290

Volume 20 Issue 1

Jan. 2022

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Article Navigation > Chinese Journal of General Practice > 2022 > 20(1): 113-116

WU Chao, LU Ai-lan, CHEN Qiao-ge. Effect of intermittent nasogastric feeding on patients with severe traumatic brain injury and dysphagia[J]. Chinese Journal of General Practice, 2022, 20(1): 113-116. doi: 10.16766/j.cnki.issn.1674-4152.002290

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WU Chao, LU Ai-lan, CHEN Qiao-ge. Effect of intermittent nasogastric feeding on patients with severe traumatic brain injury and dysphagia[J]. Chinese Journal of General Practice, 2022, 20(1): 113-116. doi: 10.16766/j.cnki.issn.1674-4152.002290

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Effect of intermittent nasogastric feeding on patients with severe traumatic brain injury and dysphagia

doi: 10.16766/j.cnki.issn.1674-4152.002290

Department of Rehabilitation, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang 321000, China

Funds:

LY20H070011

Received Date: 2020-12-25
Available Online: 2022-03-03

Abstract

Abstract

Objective To observe the clinical effect of intermittent nasogastric feeding on patients with severe brain injury and dysphagia. Methods Total 70 patients with severe traumatic brain injury with dysphagia in the Affiliated Jinhua Hospital, Zhejiang University School of Medicine from April 2017 to March 2020 were randomly divided into treatment (35 cases) and control (35 cases) groups according to the random-number table. The control group was treated with continuous nasogastric tube indwelling for nutritional support, whereas the treatment group was treated with intermittent nasogastric feeding technology. Improvements in the swallowing function, nutritional status, and sleep quality of the two groups before and after treatment were observed, and the clinical efficacy and complications during treatment were compared. Results After treatment, the result of water-drinking test in the treatment group was significantly better than that in the control group (Z=-2.684, P < 0.05), body mass index, serum albumin, prealbumin, and haemoglobin levels in the treatment group were significantly higher than those in the control group (t=3.431, 3.530, 3.143, 3.155, all P < 0.05). The Pittsburgh sleep quality index (PSQI) score in the treatment group was lower than that of the control group (t=7.930, P < 0.05). The incidence of pulmonary infection and abdominal distension complications in the treatment group were lower than those in the control group (χ²=6.437, 4.590, both P < 0.05). The total effective rate was 97.14% (34/35) in the treatment group, which was much better than the 77.14% (27/35) in the control group (χ²=4.590, P < 0.05). Conclusion Intermittent nasogastric feeding for patients with severe traumatic brain injury and dysphagia can significantly improve the swallowing function and nutritional status and improve sleep quality. The incidence of complications is low, and the effect is significant.
- Intermittent nasal feeding technology,
- Severe brain injury with dysphagia,
- Pulmonary infection,
- Sleep quality,
- Nutritional status

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References

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Effect of intermittent nasogastric feeding on patients with severe traumatic brain injury and dysphagia

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