RỐI LOẠN NUỐT VÀ MỘT SỐ YẾU TỔ LIÊN QUAN TRÊN BỆNH NHÂN PARKINSON GIAI ĐOẠN MUỘN

Abstract

Parkinson’s disease (PD) is a neurodegenerative disorder characterized by a combination of motor and nonmotor dysfunction. Swallowing disorder is a common problem in Parkinson's disease, especially in the late stage. This affects not only nutrition, food metabolism but also the therapeutic effect of drugs, and that increases the risk of fatal aspiration pneumonia. Objective: The aims of this study were to characterize swallowing disorders and analyze some factors related to swallowing disorders in patients with late-stage Parkinson's disease at the National Geriatric Hospital from August 2021 to June 2022. Methodology: Swallowing disorders were evaluated by clinical symptoms and Gugging Swallowing Screen (GUSS).  Results: The average age was 71.22 ± 8.61 years, most of ages > 60, male/female rate ratios: 1.58:1. The mean duration of disease was 6.80 ± 4.13 years. The most common symptom related to swallowing disorder was the change of voice and dysphagia. The common complications are changes in eating habits, malnutrition and pneumonia. Participants with more pronounced motor sypmtoms (Higher MDS- UPDRS III scores) and longer duration had lower GUSS scores.  Kết luận: In our study, the most common symptoms of swallowing disorders are speech impairment and dysphasia. The common complications are change in dietary habits and malnutrition. Patients with more pronounced motor sypmtoms and longer duration had lower GUSS scores - more severe swallowing disorder.