吞咽功能评估联合误吸风险评估在巨大听神经瘤患者术后功能障碍研究  

作　　者：刘恋 石赞华[1] 何凤琼 刘彩芳[1] 

机构地区：[1]中南大学湘雅医院神经外科,湖南长沙410008

出　　处：《中国药业》2017年第A02期140-141,共2页China Pharmaceuticals

摘　　要：目的探讨吞咽功能评估联合误吸风险评估在巨大听神经瘤术后功能障碍的应用,以提高术后患者康复效果。方法对巨大听神经瘤术后患者采用吞咽功能评估表(GUSS)和误吸风险评估表进行吞咽功能评估,共筛查出78例存在吞咽障碍患者,按随机数字表法分为干预组和对照组,各39例。对照组进行常规康复指导,干预组根据吞咽功能评估及误吸风险评估进行针对性康复指导。结果护理干预后,干预组吞咽障碍疗效优于对照组(P<0.01),对照组误吸发生率高于干预组(P<0.05),干预组胃管平均拔管时间短于对照组(P<0.05)。结论使用GUSS评估和误吸风险评估量表对巨大听神经瘤术后患者进行吞咽功能评估,并根据评估结果采取针对性护理措施,可明显改善患者的吞咽功能,降低误吸风险的发生,提高患者的预后质量。Objective To explore the application of deglutition evaluation and risk assessment in the postoperative dysfunction of large acoustic neuroma,so as to improve the recovery effect of postoperative patients.Methods The swallowing function in patients with large acoustic neuroma surgery assessment(GUSS)and aspiration risk assessment tables for swallowing function assessment,screening out of 78 patients with swallowing disorders,according to random number table method they were divided into intervention group and control group,39 cases in each group.The control group was given routine rehabilitation guidance,the intervention group was given targeted rehabilitation guidance according to the swallowing function assessment and aspiration risk assessment.Results After nursing intervention,the intervention group swallowing dysfunction was better than that of control group(P<0.01).The incidence of aspiration control group was higher than intervention group(P<0.05).The stomach tube average extubation time in the intervention group shorter than that in the control group(P<0.05).Conclusion GUSS assessment and aspiration risk assessment scale for patients with large acoustic neuroma surgery swallowing function assessment,and take corresponding nursing measures according to the results of the assessment can obviously improve the patients'swallowing function,redue the happening of the risk of aspiration,and improve the prognosis of patients.

关 键 词：吞咽功能 误吸风险评估 巨大听神经瘤 功能障碍 

分 类 号：R472[医药卫生—护理学]