纤维喉镜吞咽功能评估在吞咽障碍患者停止管饲时机中对再次管饲及吸入性肺炎发生率的影响
The effect of fiberoptic endoscopic evaluation of swallowing on the incidence of re-tube feeding and aspiration pneumonia in patients with dysphagia at the time of stopping tube feeding
张杨 1张瑞萍 1张宁 1宋杰 1尹诺一 1李思瑶1
作者信息
摘要
目的 研讨纤维喉镜吞咽功能评估在吞咽障碍患者停止管饲时机中对再次管饲及吸入性肺炎发生率的影响.方法 82 例吞咽障碍患者,按照不同的干预方案将患者分为常规组及探究组,每组 41 例.常规组根据格拉斯哥昏迷评估量表与洼田饮水试验评估结果评估停止管饲时机,探究组采用纤维喉镜吞咽功能评估停止管饲时机.比较两组患者再次管饲与吸入性肺炎发生情况.结果 探究组的再次管饲率为 0、吸入性肺炎发生率为 2.44%,均低于常规组的 9.76%、14.63%,数据比较存在差异性(χ2=4.205、3.905,P=0.040、0.048<0.05).结论 纤维喉镜吞咽功能评估价值颇高,有利于确保吞咽障碍患者正确停止管饲时机,有效减少吸入性肺炎等危险事件发生率,利于患者机体尽早康复,值得推广.
Abstract
Objective To study the influence of fiberoptic endoscopic evaluation of swallowing on the incidence of re-tube feeding and aspiration pneumonia in patients with dysphagia at the time of stopping tube feeding.Methods 82 patients with dysphagia were divided into a conventional group and an exploratory group according to different intervention plans,with 41 patients in each group.For patients in the conventional group,the timing of stopping tube feeding was evaluated according to the results of Glasgow Coma Assessment Scale and water swallow test;for patients in the exploratory group,the timing of stopping tube feeding was evaluated by results of fiberoptic endoscopic evaluation of swallowing.The occurrence of re-tube feeding and inhalation pneumonia was compared between the two groups.Results The incidence of re-tube feeding 0.00%and inhalation pneumonia 2.44%in the exploratory group were lower than those of 9.76%and 14.63%in the conventional group,and the difference was statistically significant(χ2=4.205,3.905;P=0.040,0.048<0.05).Conclusion The value of fiberoptic endoscopic evaluation of swallowing is quite high,which is helpful to ensure the right time to stop tube feeding for patients with dysphagia,effectively reduce the incidence of dangerous events such as inhalation pneumonia,and help patients recover as soon as possible,and is worth promoting.
关键词
吞咽障碍/再次管饲/纤维喉镜吞咽功能评估/吸入性肺炎/停止管饲时机Key words
Dysphagia/Re-tube feeding/Fiberoptic endoscopic evaluation of swallowing/Aspiration pneumonia/Timing of stopping tube feeding引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据