循证导向的吞咽康复分层策略联合动态营养管理方案在老年脑卒中患者中的应用研究OA

Objective To investigate the effects of evidence-based stratified swallowing rehabilitation strategy combined with dynamic nutrition management on swallowing function and nutritional status in elder-ly stroke patients.Methods A total of 198 elderly stroke patients in our hospital from January 2024 to Febru-ary 2025 were selected and randomly divided into a control group(99 cases)and an observation group(99 ca-ses)using a random envelope method.The control group received conventional rehabilitation intervention combined with dynamic nutrition management,while the observation group received evidence-based stratified swallowing rehabilitation strategy in addition to the intervention given to the control group.The Gugging Swallowing Screen(GUSS),Eating Assessment Tool-10(EAT-10),Mini-Nutritional Assessment Short-Form(MNA-SF)scores,serum prealbumin(PA)level,grip strength,and incidence of adverse events were compared between the two groups.Results After intervention,the GUSS and EAT-10 scores in both groups improved compared with those before intervention,and the observation group showed better Results than the control group,with statistically significant differences(P<0.05).After intervention,the MNA-SF scores,serum PA level,and grip strength in both groups were higher than those before intervention,and the observation group had higher values than the control group,with statistically significant differences(P<0.05).Regarding the in-cidence of aspiration and other adverse events,the total incidence in the observation group was 5.05%,which was lower than that in the control group(13.13%),with a statistically significant difference(P<0.05).Con-clusion Evidence-based stratified swallowing rehabilitation strategy combined with dynamic nutrition man-agement can improve swallowing function and nutritional status in elderly stroke patients and reduce the risk of adverse events such as aspiration.