GUSS作为脑出血术后留置胃管患者拔管指征的效果评价  

The application of GUSS swallowing evaluation as a symbol of pulling out the tube in cerebral hem- orrhage patients with indwelling gastric tube

作　　者：祝晓娟[1] 柏慧华 范莉花[1] 姚秋近[1] 陈静[1] 张一[1] 

机构地区：[1]江苏省常州市第一人民医院神经外科,213003

出　　处：《中国实用护理杂志》2013年第33期24-26,共3页Chinese Journal of Practical Nursing

摘　　要：目的比较Gugging吞咽功能评估表（Guggingswallowingscreen，GUSS）与传统方法作为留置胃管拔管标准的效果。方法选择2011年10月至2012年6月我科脑出血术后留置胃管患者60例，其中GUSS组30例，以GUSS评分≥15分作为拔管标准；传统组30例，采取传统方法即每餐能进食200ml以上流食，观察2d无不适作为拔管标准，比较2组间拔管后复插率及吸人性肺炎发生率。结果GUSS组拔管后无一例复插胃管及发生吸入性肺炎。传统组拔管后有7例复插胃管，5例发生吸入性肺炎。GUSS组复插率及吸人眭肺炎发生率明显低于传统组。结论GUSS吞咽评估≥15分可作为脑出血术后留置胃管患者的拔管指征，且操作方便，具有可行性。Objective To compare the difference between GUSS swallowing evaluation and tradi- tional evaluation as a symbol of pulling out stomach tube. Methods 60 patients with cerebral hemor- rhage combined with indwelling tube were divided into two groups, the GUSS group and the traditional group, according to the symbol of pulling out the gastric tube. Each group contained 30 cases. The GUSS score ≥15 points was used as the symbol of pulling out the gastric tube in the GUSS group, while being able to eat 200 ml liquid without any trouble in two days was used as the symbol in the traditional group. Then we compared the incidence of gastric tube reinsertion and aspiration pneumonitis between the two groups. Results No gastric tube reinsertion and aspiration pneumonitis occurred in the GUSS group, while 7 cases accepted gastric tube reinsertion and 3 cases diagnosed as aspiration pneumonitis in the tra- ditional group. The incidence of gastric tube reinsertion and aspiration pneumonitis in the GUSS group were obviously lower than those in the traditional group. Conclusions GUSS evaluation score ≥ 15 points could be used as a symbol of pulling out gastric tube.

关 键 词：脑出血 留置胃管 拔管指征 

分 类 号：R472[医药卫生—护理学]