ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU PHƯƠNG PHÁP NUÔI ĂN BẰNG ỐNG THÔNG MIỆNG - THỰC QUẢN NGẮT QUÃNG Ở NGƯỜI BỆNH ĐỘT QUỴ NÃO CÓ RỐI LOẠN NUỐT TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: To evaluate the preliminary outcomes, advantages and disadvantage of intermittent oro-esophageal tube feeding in stroke patients with dysphagia. Methods: An uncontrolled randomized clinical trial was conducted on 26 stroke patients with dysphagia, whose swallowing function was assessed using the Gugging Swallowing Screen (GUSS) and who were fed by an intermittent oro-oesophageal tube at the Stroke Department, Military Hospital 103, from March 2025 to January 2026. Results: The mean age was 72.2 ± 11.1 years; patients aged ≥ 60 years accounted for 84.6%; the male-to-female ratio was 1:1. The mean GUSS score increased from 11.5 ± 2.1 to 17.5 ± 2.1 after 2 weeks of intervention, with a mean change of 6.1 ± 2.2 points (p < 0.05). The mean body weight increased from 54.8 ± 9.0kg to 55.2 ± 9.4kg, but the difference was not statistically significant. Serum protein levels showed no statistically significant change, whereas albumin levels decreased slightly from 38.5 ± 4.3 g/L to 36.5 ± 4.4 g/L (p < 0.05). The mean tube insertion time was 4.6 ± 2.6 minutes; the success rate on the first attempt was 80.8%; and the mean insertion length was 33.1 ± 1.9cm. Common difficulties included gag reflex, coughing/choking, and limited patient cooperation. Conclusion: Intermittent oro-esophageal tube feeding shows preliminary efficacy in swallowing function in stroke patients. The insertion procedure was relatively quick, although some difficulties are still encountered during implementation.