洼田饮水试验在慢性阻塞性肺疾病急性加重期患者误吸风险评估中的应用

Application of water swallow test in risk assessment of aspiration among patients with acute exacerbation of chronic obstructive pulmonary disease

目的探讨洼田饮水试验应用于慢性阻塞性肺疾病急性加重期(AECOPD)误吸风险评估中的应用效果。方法采用方便抽样法,抽取2017年1月至2018年10月120例AECOPD患者为研究对象,随机将其等分为对照组和观察组,对照组给予常规饮食指导,观察组在对照组基础上采用洼田饮水试验,比较两组患者误吸发生率、吸入性肺炎发生率、进食满意度。结果观察组患者误吸、吸入性肺炎发生率均明显低于对照组(P<0.05);观察组进食满意度明显高于对照组(P<0.05)。结论采用洼田饮水试验评估误吸风险,可有效减少AECOPD患者发生误吸、吸入性肺炎等不良事件,提高进食满意度。

Objective To explore the application effect of water swallow test in risk assessment of aspiration among patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods To select 120 cases of patients with AECOPD from January 2017 to October 2018 as the study subjects by using the convenient sampling method.They were divided into control group and observation group with the same number of patients randomly.The control group was given routine dietary guidance,while on the basis of this,the observation group was given water swallow test.The incidence of aspiration,the incidence of aspiration pneumonia,and the satisfaction of eating in the two groups were compared.Results The incidence of aspiration and incidence of aspiration pneumonia in the observation group were significantly lower than those in the control group(P<0.05).The satisfaction of eating in the study group was obviously higher than that in the control group(P<0.05).Conclusion Applying water swallow test to assess the risk of aspiration can reduce adverse events such as aspiration and aspiration pneumonia in patients with AECOPD effectively and improve patients’eating satisfaction.