目的：了解间歇性经口至食管管饲（IOE）法对脑卒中后吞咽障碍患者病耻感的影响。方法：脑卒中后 吞咽障碍患者80 例随机分为IOE 组和持续经鼻至胃管饲（NGT）组，各40 例。于治疗前、后，分别采用简明 健康调查表（SF-36 量表）、抑郁自评量表（SDS）和慢性疾病病耻感量表（SSCI）评价2 组生活质量、抑郁状态 和病耻感。结果：治疗后，2 组各维度的生活质量评分均较治疗前明显提高（均P＜0.05），IOE组生活质量更 高于NGT组（P＜0.05）；治疗后，NGT组和IOE组的SDS评分均低于同组治疗前（均P＜0.05），且IOE组低于 NGT组（均P＜0.05）；治疗后，2 组SSCI 病耻感总分、内在病耻感、外在病耻感得分均较治疗前降低（均P＜ 0.05）；IOE 组SSCI 病耻感总分、内在病耻感、外在病耻感得分低于NGT组（均P＜0.05）。结论：与NGT相 比，IOE更有助于改善脑卒中后吞咽功能障碍患者的生活质量、同时降低其抑郁情绪及慢病病耻感。

To investigate the effect of intermittent oral esophageal feeding (IOE) on stigma of patients with dysphagia after stroke. Methods: Eighty patients with dysphagia after stroke were randomly divided into IOE group (n=40) and NGT (nasogastric tube) group (n=40). Short form 36 health survey questionnaire (SF-36), self-rating depression scale (SDS) and stigma scale for chronic illness (SSCI) were used to assess all the cases before and after treatment. Results: After 4 weeks of treatment, SF-36 scores of two groups were higher than those before (P<0.05) and scores of IOE group were higher than those of NGT group (P< 0.05). After 4 weeks of treatment, SDS scores of two groups were lower than those before (P<0.05) and scores of IOE group were lower than those of NGT group (P<0.05). After 4 weeks of treatment, the total scores of stigma, scores of internal stigma and external stigma in the SSCI scale of two groups were lower than those before (P< 0.05) and these scores of IOE group were lower than those of NGT group (P<0.05). Conclusion: Compared with NGT, IOE could more effectively improve the quality of life in patients with dysphagia after stroke and reduce their depression and stigma.