个体化老年综合评估技术在1例存活20年的肌萎缩侧索硬化症中的应用

Application of individualized comprehensive geriatric assessment techniques in an elderly patient with amyotrophic lateral sclerosis surviving 20 years

目的总结老年综合评估(CGA)技术在1例存活20年的肌萎缩侧索硬化症(ALS)病人中的应用经验。方法回顾性分析2001年10月收治的1例ALS的临床资料。住院期间,根据病人病情,应用CGA技术全面评估病情、机体功能状态、心理、社会支持等状况,根据评估结果调整治疗方案。结果病人自发病起存活20年,整个病程中营养状态良好,未发生压疮,很少发生吸入性肺炎、泌尿系感染,未发生导管脱落、导管相关性感染等。结论在ALS不同阶段,根据病人病情选择CGA技术综合评估、实施个体化支持治疗,对减少并发症、延长生命具有重要意义。

Objective To summarize the experience of comprehensive geriatric assessment(CGA)in a patient with amyotrophic lateral sclerosis(ALS)who survived for 20 years.Methods The clinical data of 1 patient with ALS who was admitted to our hospital on October 12th,2001 were retrospectively analyzed.During hospitalization,CGA techniques were applied to comprehensively evaluate the patient's condition,physical function state,psychological and social support,and the treatment methods were adjusted according to the evaluation results.Results The patient survived for 20 years from the onset of the disease.The nutritional state was good throughout the course of the disease.There were no pressure sore,catheter shedding,or catheter-associated infection.Aspiration pneumonia and urinary tract infection rarely occur.Conclusions In different stages of ALS,it is of great significance to use CGA techniques for comprehensive evaluation and individualized supportive treatment according to patients'condition,which can reduce complications and prolong survival time.