Yang Naihui, Wu Dingfen, Zhou Jian, Yin Yiping, Guo Qing, Feng Xiaoli, Qi Hong
School of Nursing, Chengdu Medical College Chengdu 610083, Sichuan, China.
Department of Critical Care Medicine, The Third People's Hospital of Yibin Yibin 644000, Sichuan, China.
Am J Transl Res. 2025 Feb 15;17(2):1065-1075. doi: 10.62347/OJVV8646. eCollection 2025.
To explore the impact of intermittent oro-esophageal tube feeding combined with continuous nursing intervention on postoperative recovery in patients with intracerebral hemorrhage.
A retrospective study was conducted on 212 patients with intracerebral hemorrhage after surgery who were admitted to the Third People's Hospital of Yibin from January 2022 to December 2023. Patients were divided into two groups: the control group (108 patients), who received intermittent oro-esophageal tube feeding, and the observation group (104 patients), who received intermittent oro-esophageal tube feeding combined with continuous nursing intervention. Clinical data, National Institutes of Health Stroke Scale (NIHSS), Glasgow Coma Scale (GCS), and the Activity of Daily Living (ADL) scores, psychological status, nutritional indices (albumin, hemoglobin, transferrin), compliance, and nursing satisfaction were compared between the groups.
Post-intervention, the observation group had significantly lower NIHSS scores and higher GCS, hemoglobin, albumin, transferrin, and ADL scores compared to the control group (all P < 0.05). Additionally, ESCA scores in the observation group were significantly higher than those in the control group (P < 0.05). Nursing satisfaction in the observation group was 97.12%, compared to 83.3% in the control group (P = 0.033).
Intermittent oro-esophageal tube feeding combined with continuous nursing intervention improves neurological deficits, reduces brain injury, and promotes recovery of motor function and daily living abilities in patients with intracerebral hemorrhage after surgery.
探讨间歇性经口-食管管饲联合连续性护理干预对脑出血患者术后恢复的影响。
对2022年1月至2023年12月宜宾市第三人民医院收治的212例脑出血术后患者进行回顾性研究。将患者分为两组：对照组（108例），接受间歇性经口-食管管饲；观察组（104例），接受间歇性经口-食管管饲联合连续性护理干预。比较两组患者的临床资料、美国国立卫生研究院卒中量表（NIHSS）、格拉斯哥昏迷量表（GCS）、日常生活活动能力（ADL）评分、心理状态、营养指标（白蛋白、血红蛋白、转铁蛋白）、依从性及护理满意度。
干预后，观察组NIHSS评分显著低于对照组，GCS、血红蛋白、白蛋白、转铁蛋白及ADL评分均显著高于对照组（均P<0.05）。此外，观察组的简易精神状态检查表（ESCA）评分显著高于对照组（P<0.05）。观察组护理满意度为97.12%，对照组为83.3%（P=0.033）。
间歇性经口-食管管饲联合连续性护理干预可改善脑出血术后患者的神经功能缺损，减轻脑损伤，促进运动功能及日常生活能力恢复。
