【摘要】 目的 探讨系统摄食训练在高龄痴呆脑卒中患者吞咽障碍中的应用效果。方法 选取2021年10月至2023年10月本院收治的60例高龄痴呆脑卒中伴有吞咽障碍患者作为研究对象，将其随机分为对照组（n=30，采用常规训练治疗）和观察组（n=30，在对照组基础上采用系统摄食训练治疗）。比较两组的治疗效果。结果 治疗后，两组的进食评估问卷调查工具-10(EAT-10)、洼田饮水试验评分均降低，且观察组低于对照组（P<0.05）。治疗后，两组的总蛋白、白蛋白、转铁蛋白水平及吞咽障碍特异性生活质量量表（SWALQOL）评分均升高，且观察组高于对照组（P<0.05）。观察组的不良事件总发生率为6.67%，低于对照组的16.67%(P<0.05)。结论 系统摄食训练在高龄痴呆脑卒中患者吞咽障碍中的应用效果显著，可改善患者的吞咽功能，提高机体营养状况与生活质量，降低不良事件发生率。更多还原

【Abstract】 Objective To explore the application effect of systematic feeding training in elderly dysphagiain patients with dementia and stroke. Methods A total of 60 elderly patients with dementia and stroke accompanied by dysphagia admitted in our hospital from October 2021 to October 2023 were selected as the research objects. The patients were randomly divided into control group(n=30, routine training treatment)and observation group(n=30, systematic feeding training treatment on the basis of the control group). The therapeutic effects of the two groups were compared. Results After treatment, the scores of Eating Assessment Tool-10(EAT-10) and Watian drinking water test in the two groups decreased, and those in the observation group were lower than the control group(P<0.05). After treatment, the total protein, albumin, transferrin levels and Swallowing Quality of Life Questionnaire(SWAL-QOL) score in the two groups increased, and those in the observation group were higher than the control group(P<0.05). The total incidence of adverse events in the observation group was 6.67%, which was lower than 16.67% in the control group(P<0.05). Conclusion Systematic feeding training has a significant effect on dysphagia in elderly patients with dementia and stroke.It can ameliorate the swallowing function of patients, improve the nutritional status and quality of life of the body, and reduce the incidence of adverse events.更多还原