插胃管前智能风险评估在神经内科患者预防误吸中的应用  

Application of intelligent risk assessment before gastric tube insertion in the prevention of aspiration in neurology patients

作　　者：张露娇 阳庆江 曾莉莎 ZHANG Lujiao;YANG Qingjiang;ZENG Lisha(Department of Neurology,Pingxiang City People's Hospital,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市人民医院神经内科,江西萍乡337000

出　　处：《中国当代医药》2022年第26期48-50,共3页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220200844)。

摘　　要：目的探讨插胃管前智能风险评估在神经内科患者预防误吸中的应用效果。方法回顾性分析2020年10月至2021年9月萍乡市人民医院神经内科的90例留置胃管患者的临床资料,依据是否采用智能风险评估将其分为对照组和观察组,每组均为45例。对照组采用常规误吸风险评估,观察组采用智能风险评估。比较两组患者的误吸发生率、胃管留置时间、住院时间和吞咽功能。结果两组患者干预前的吞咽功能比较,差异无统计学意义(P>0.05);观察组的误吸发生率为8.89%,低于对照组的26.67%,差异有统计学意义(P<0.05);观察组的胃管留置时间[(17.89±3.20)d]、住院时间[(20.82±2.76)d]均短于对照组[(21.78±3.24)d、(25.64±3.16)d],差异有统计学意义(P<0.05);观察组干预后的吞咽功能评分为(2.21±0.05)分,低于对照组的(3.24±0.10)分,差异有统计学意义(P<0.05)。结论插胃管前智能风险评估能够有效预防神经内科患者误吸发生,改善患者吞咽功能,有效缩短胃管留置时间和住院时间。Objective To investigate the application effect of intelligent risk assessment before gastric tube insertion in the prevention of aspiration in neurology patients.Methods The clinical data of 90 patients with gastric tube indwelling in the Department of Neurology of Pingxiang City People's Hospital from October 2020 to September 2021 were retrospectively analyzed,and they were divided into the control group and the observation group according to whether information-based aspiration risk assessment was adopted,with 45 cases in each group.The control group used routine aspiration risk assessment,and the observation group used information-based aspiration risk assessment.The incidence of aspiration,gastric tube indwelling time,hospital stay and swallowing function were compared between the two groups.Results There was no significant difference in the score of swallowing function between the two groups before intervention(P>0.05).The incidence of aspiration in the observation group was 8.89%,which was lower than 26.67% in the control group,and the difference was statistically significant(P<0.05).The gastric tube indwelling time([17.89±3.20]d)and the hospitalization time([20.82±2.76]d)in the observation group were shorter than those in the control group([21.78±3.24]d and[25.64±3.16]d),and the differences were statistically significant(P<0.05).The swallowing function score of the observation group after intervention was(2.21±0.05)points,which was lower than that of the control group([3.24±0.10]points),and the difference was statistically significant(P<0.05).Conclusion Intelligent risk assessment before gastric tube insertion can effectively prevent aspiration in neurology patients,improve patients'swallowing function,and effectively shorten gastric tube indwelling time and hospital stay.

关 键 词：神经内科 插胃管前智能风险评估 误吸 吞咽功能 

分 类 号：R459.9[医药卫生—治疗学]