【摘要】 目的 :使用老年综合评估调查80岁及以上住院患者吞咽障碍患病情况并分析其危险因素。方法 :采用便利抽样法选取2018年10月至2020年8月武汉市某三级甲等医院老年科≥80岁住院患者为研究对象。对其进行老年综合评估,包括洼田饮水试验、多重用药、日常生活活动能力、简易智力状态评估、老年人精神抑郁量表、微型营养评价精法、Fried衰弱表型评估以及握力、上臂围和小腿围。使用Logistic回归分析患者吞咽障碍的危险因素。结果 :共调查住院老人110例,吞咽障碍检出率为70.9%。多因素分析结果示多重用药、营养不良、握力及上臂围是≥80岁住院患者吞咽障碍的影响因素,OR值分别为35.267、18.985、0.843和0.740,均具有统计学意义(P<0.05)。结论 :高龄住院患者吞咽障碍发生率较高,应及早进行老年综合评估以筛查高龄吞咽障碍患者的危险因素,采取有效的干预措施,改善患者吞咽功能,预防并发症,提高生活质量。更多还原

【Abstract】 Objective: Comprehensive Geriatric Assessment(CGA) was used to evaluate the incidence of dysphagia in inpatients aged over 80 and to analyze its risk factors. Methods: Inpatients aged over 80 years admitted to geriatric department in a tertiary hospital in Wuhan were included by convenience sampling from December 2018 to September 2020. Watian drinking water test, polypharmacy, activities of daily living, Mini-Mental State Exam, Geriatric Depression Scale, Mini Nutritional Assessment Short Form, Fried frailty criteria, grip strength, upper arm circumference and calf circumference were used in the CGA. Logistic regression analysis was used to analyze the risk factors of dysphagia. Results: Totally 110 hospitalized patients aged 80 and above were included, and the overall incidence of dysphagia was 70.9%. The multivariate analysis showed that polypharmacy, malnutrition, weaker grip strength and less upper arm circumference were risk factors for dysphagia in elderly inpatients, OR were 35.267, 18.985, 0.843, 0.740, respectively(P<0.05). Conclusion: The incidence of dysphagia was relatively high in elderly inpatients. CGA should be carried out early to screen the risk factors of elderly patients with dysphagia. It’s necessary to take some interventions to improve swallowing function, prevent complications, and improve the quality of life for elderly inpatients.更多还原