The exploration of the optimal evaluation method and extraction time of acute stroke patients with indwelling gastric tube

Abstract

Objective To explore the optimal evaluation method and extraction time of acute stroke patients with indwelling gastric tube.Methods From October 2009 to October 2011,300 cases of stroke patients with swallowing dysfunction,were randomly divided into 2 groups.The control group of 156 cases took the prescribed extraction method,while nursing staff took bedside water swallowing test(Bed-side Water Swallowing Test) for a week to 156 patients with indwelling gastric tube for swallowing assessment in the test group,to determine whether to extract.The extraction time,once again placing tube rate,respiratory tract infections,aspiration,gastrointestinal infections,upper digestive tract hemorrhage and main nuritional index of 2groups were compared.Results Compared to control group,gastric tube indwelling time of test group was obviously shortened,again catheterization rate was significantly lower in infection of the respiratory tract,gastrointestinal infections,upper digestive tract hemorrhage were lower,indwelling gastric tube main nutrition index was higher,with significant differences(P＜ 0.05).Conclusions The swallowing assessment in stroke patients with indwelling gastric tube through bedside swallowing water test to identify extraction time,can reduce the incidence of complications,shorten the indwelling gastric tube time,increase oral feeding opportunities,enhance nutrition supply,and improve the nurses' enthusiasm. Key words: Stroke; Indwelling gastric tube; Extraction; Timing