中国全科医学2012，Vol.15Issue(24)：2815-2817,3.DOI:10.3969/j.issn.1007-9572.2012.08.107
不同床边吞咽功能评估方法对脑卒中伴吞咽障碍患者吸入性肺炎及营养状况的影响
Influence of Different Bedside Evaluations of Deglutition Function on Aspiration Pneumonitis and Nutritional Condition in Patients with Stroke Combined with Deglutition Disorders
程谦涛 1王丽君 1李明超 1郭建一1
作者信息
- 1. 223000,江苏省淮安市,南京医科大学附属淮安一院神经内科
- 折叠
摘要
Abstract
Objective To evaluate the effect of different bedside evaluations of deglutition function on aspiration pneumonitis and nutritional condition in patients with stroke combined with deglutition disorders. Methods 80 patients with acute is-chemic stroke combined with deglutition disorders admitted to the Department of Neurology of our hospital were randomly divided into two groups, with one group evaluated by GUSS and the other group evaluated by Water Drinking Test. Diet strategy was established according to the results of evaluation. The incidence of aspiration pneumonitis and prealbumin ( PA ) were compared between the two groups. Results The incidence of aspiration pneumonitis showed no statistically significant difference between the two groups on the third day and seventh day after admission ( P > 0. 05 ) . But the incidence showed statistically significant difference on the 14th day after admission ( P < 0. 05 ) . The levels of PA showed no statistically significant difference between the two groups on the first day after admission ( P > 0. 05 ), but showed statistically significant difference on the 14th day after admission ( P < 0. 05 ) . Conclusion GUSS evaluation and diet strategy can reduce the incidence of aspiration pneumonitis and improve nutritional condition, and it can play a positive role in the recovery of patients with stroke.关键词
卒中/吞咽障碍/肺炎,吸入性/前清蛋白Key words
Stroke/ Deglutition disorders/ Pneumonia, aspiration/ Prealbumin分类
医药卫生引用本文复制引用
程谦涛,王丽君,李明超,郭建一..不同床边吞咽功能评估方法对脑卒中伴吞咽障碍患者吸入性肺炎及营养状况的影响[J].中国全科医学,2012,15(24):2815-2817,3.
