本文選題：GUSS評(píng)估量表　切入點(diǎn)：洼田飲水試驗(yàn)　出處：《中國(guó)老年學(xué)雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的探討洼田飲水試驗(yàn)和Gugging吞咽功能(GUSS)評(píng)估量表在老年亞急性腦出血患者中的應(yīng)用價(jià)值。方法選取老年亞急性期腦出血伴吞咽困難的患者200例,給予NRS-2002評(píng)估表進(jìn)行營(yíng)養(yǎng)評(píng)定。患者均同時(shí)采用洼田飲水試驗(yàn)和GUSS量表評(píng)估吞咽困難,即實(shí)施間接吞咽測(cè)試和直接吞咽測(cè)試,根據(jù)篩查結(jié)果制定相應(yīng)的飲食及營(yíng)養(yǎng)指導(dǎo),在入院1個(gè)月、3個(gè)月和6個(gè)月均檢查吸入性肺炎和營(yíng)養(yǎng)不良發(fā)生情況。通過(guò)效應(yīng)值、標(biāo)準(zhǔn)化的反應(yīng)平均值以Wilcoxon符號(hào)秩和檢驗(yàn)洼田飲水試驗(yàn)和GUSS評(píng)估量表的反應(yīng)性。結(jié)果 GUSS評(píng)估量表比洼田飲水試驗(yàn)對(duì)于吞咽障礙檢出級(jí)別更高(P0.05)。根據(jù)GUSS篩查結(jié)果對(duì)患者采取相關(guān)治療和護(hù)理措施以干預(yù)吞咽困難,26例(13.0%)患者發(fā)生吸入性肺炎,31例(15.5%)患者發(fā)生營(yíng)養(yǎng)不良,患者住院時(shí)間為(17.21±3.21)d�；颊呓�(jīng)過(guò)治療體重顯著增加(t=2.840,P0.05),生活質(zhì)量顯著提高(t=20.871,P0.05)�；颊呔瓿芍委熐昂蟮脑u(píng)估,結(jié)果顯示2種評(píng)估量表的反應(yīng)性均較好,GUSS評(píng)估量表反應(yīng)性高于洼田飲水試驗(yàn)(P0.05)。結(jié)論對(duì)老年亞急性腦出血患者及早采用GUSS評(píng)估量表進(jìn)行吞咽障礙篩查,可以為臨床早期評(píng)估提供臨床證據(jù),并據(jù)此給予針對(duì)性飲食指導(dǎo),可有效降低不良反應(yīng)發(fā)生率,改善患者生活質(zhì)量。
[Abstract]:Objective to investigate the application value of Wata drinking water test and Gugging swallowing function evaluation scale in elderly patients with subacute intracerebral hemorrhage. Methods 200 cases of senile subacute cerebral hemorrhage with dysphagia were selected. The patients were evaluated for dysphagia by both the depressions drinking water test and the GUSS scale, that is, indirect and direct swallowing tests were carried out, and the corresponding dietary and nutritional guidelines were formulated according to the screening results. The incidence of aspiration pneumonia and malnutrition were examined at 1 month, 3 months and 6 months after admission. The standardized response average was tested by Wilcoxon symbolic rank sum to test the reactivity of the sag drinking water test and the GUSS evaluation scale. Results the GUSS evaluation scale was higher than the Okuda drinking water test in the detection of dysphagia (P 0.05). According to the results of GUSS screening, Patients with dysphagia were treated with relevant treatment and nursing measures to interfere with dysphagia in 26 patients with dysphagia (13. 0) and 31 patients with aspiration pneumonia (31 / 15. 5) patients suffered from malnutrition. The hospitalization time of the patients was 17.21 鹵3.21 days. After treatment, the weight of the patients increased significantly, and the quality of life significantly improved. The patients completed the evaluation before and after treatment. The results showed that the reactivity of the two evaluation scales was better than that of the Wata drinking water test (P 0.05). Conclusion the GUSS evaluation scale is used to screen for dysphagia in elderly patients with subacute intracerebral hemorrhage as early as possible. It can provide clinical evidence for early clinical evaluation and provide targeted dietary guidance, which can effectively reduce the incidence of adverse reactions and improve the quality of life of patients.
【作者單位】： 華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬普愛(ài)醫(yī)院神經(jīng)外科;
【基金】：武漢市衛(wèi)計(jì)委科研基金項(xiàng)目(WZ16C17)
【分類號(hào)】：R743.34

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