目的 研究营养治疗对卒中后吞咽功能障碍患者营养状况、吞咽功能以及生活质量的影响。方法 本研究观察对象为2015年4月至2017年4月于我院治疗的84例患者，数字随机法均分为两组，分别设观察组与对照组，对照组患者给予常规流食经胃管注入常规营养治疗，观察组患者给予肠内营养制剂，两周后进行效果评价。比较干预后，ALB、TP等营养指标，比较干预前后洼田饮水试验结果并评价综合临床疗效，采用SF-36评价干预后生活质量。结果  观察组干预后吞咽功能恢复总有效率为90.48%，显著高于对照组（78.57%），差异具有统计学意义（P＜0.05）；两组干预后洼田饮水试验评级差异具有统计学意义，且观察组显著优于对照组（P＜0.05）；观察组干预后ALB、TP、TLC均显著优于对照组，差异有统计学意义（P＜0.05）；观察组社会、生理功能、总体健康、生理、情感职能、活力评分、精神健康、躯体疼痛评分均显著高于对照组，差异具有统计学意义（P＜0.05）。结论： 优质营养治疗能显著改善卒中后吞咽功能障碍患者营养状况及吞咽功能，显著提升生活质量，可用于临床推广。

 ObjectiveTo study the effect of intervence nursing on nutritional status, swallowing function and life quality in patients with dysphagia after stroke. MethodsEight-four patients treated in our hospital from April 2015 to April 2017 were selected as our observational objects in this study. They were divided into two groups by digital randomization method: observation group and control group. The control group was treated with conventional flow-infusion through the stomach tube and other routine intervence. Patients in the observation group were treated with the high-quality nutritional intervence of high-quality enteral nutrition preparations. After two weeks, the effects were evaluated. The nutrition indexes such as serum albumin (ALB) and total protein (TP) after intervence were compared, the results of drinking water test in depression were compared before and after nursing and the comprehensive clinical efficacy was evaluated. The quality of life after intervence was evaluated using the MOS item short from health survey, SF-36. ResultsThe total effective rate of swallowing function recovery in the observation group after intervence was 90.48%, which was significantly higher than that in the control group (78.57%), and the difference was statistically significant (P<0.05); there was a statistically significant difference in the drinking water test ratings between the two groups after intervence, and the observation group was significantly better than the control group (P<0.05); the ALB, TP and total lymphocyte count (TLC) in the observation group were significantly better than those in the control group. The difference was statistically significant (P<0.05). The social, physiological function, general health, physiology, emotional function, vitality score, mental health and physical pain scores in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05). ConclusionsHigh-quality nutritional intervence can significantly improve the nutritional status and swallowing function in patients with dysphagia after stroke, significantly improve life quality, and can be used for clinical promotion.