CAJ | 학술논문

目的比较Gugging吞咽功能评估表(Gugging swallowing screen,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200 ml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入性肺炎发生率.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组复插率及吸入性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.
목적 비교Gugging탄인공능평고표(Gugging swallowing screen,GUSS)여전통방법작위류치위관발관표준적효과.방법 선택2011년10월지2012년6월아과뇌출혈술후류치위관환자60례,기중GUSS조30례,이GUSS평분≥15분작위발관표준;전통조30례,채취전통방법즉매찬능진식200 ml이상류식,관찰2d무불괄작위발관표준,비교2조간발관후복삽솔급흡입성폐염발생솔.결과 GUSS조발관후무일례복삽위관급발생흡입성폐염.전통조발관후유7례복삽위관,5례발생흡입성폐염.GUSS조복삽솔급흡입성폐염발생솔명현저우전통조.결론 GUSS탄인평고≥15분가작위뇌출혈술후류치위관환자적발관지정,차조작방편,구유가행성.
Objective To compare the difference between GUSS swallowing evaluation and traditional evaluation as a symbol of pulling out stomach tube.Methods 60 patients with cerebral hemorrhage 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 traditional 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.