Objective:To discuss the effect of intermittent oro-esophageal tube feeding (IOE) combined with individualized respiratory function training in patients with oral and pharyngeal dysphagia after stroke.

Methods: Thirty patients with oral and pharyngeal dysphagia after stroke were randomly divided into observation group (15 cases) and control group (15 cases). Based on conventional treatment of dysphagia, the observation group was treated with IOE combined with individualized respiratory function training, and the control group was treated with IOE for 2 weeks. Before and after treatment, the swallowing function was evaluated by drinking water test and video fluoroscopic swallowing study. The respiratory function was evaluated by measuring forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF). A Swallowing Quality of Life scale was used to evaluate the quality of life. During the treatment, the complications such as aspiration, pneumonia and malnutrition were observed.

Results: There were no significant differences in swallowing function, respiratory function and swallowing quality of life between the 2 groups before treatment (P>0.05). After 2 weeks of treatment, the observation group was significantly better than the control group in the above three aspects (P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05) after 2 weeks of treatment.

Conclusion: In the rehabilitation of patients with oral and pharyngeal dysphagia after stroke, on the basis of routine dysphagia therapy, IOE combined with individualized respiratory function training can obviously promote the recovery of swallowing function, improve respiratory function, reduce complications, and improve the quality of life.