Objective: To explore the effect of oral exercise combined with one-bite volume training on feeding management in patients with dysphagia after stroke.

Methods: From February to December in 2019, 70 patients with dysphagia after stroke were randomly divided into study group and control group (35 cases in each group). Both groups received routine nursing care for dysphagia, while the study group received oral exercise combined with one-bite volume training. The swallowing function, the improvement rate of dysphagia, and the incidence of salivation and aspiration were compared between the two groups before and after intervention.

Results: The swallowing function evaluated by Water Swallow Test in the study group was better than that in the control group (P = 0.002). The improvement rate of dysphagia in the study group was significantly higher than that of the control group (62.86% vs 31.43%, P = 0.012). The rates of salivation and aspiration in the study group were significantly lower than those before intervention (P = 0.027, P = 0.034), while the rates of salivation and aspiration in the control group were higher than those before intervention (P = 0.029, P = 0.016).

Conclusion: Oral exercises combined with oral exercise can effectively promote the management of food intake, improve swallowing function, reduce the incidence of salivation and aspiration, promote safe eating, reduce aspiration pneumonia and improve the quality of life.