在内镜检查期间的喉挤压动作 - - 它告诉我们什么?
Anna Miles1, Alexandra Hunting2
1Speech Science, The University of Auckland, Auckland, New Zealand.
The Laryngoscope
|May 31, 2023
概括
喉挤压动作 (PSM) 是评估吞困难的一个有价值的工具. 在接受吞灵活内镜评估 (FEES) 的患者中,受损的PSM预测了吸血,吞安全性降低和不良的临床结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 生物机械分析 生物机械分析
背景情况:
- 喉收缩的减少是失消症和吸收风险的关键指标.
- 喉挤压操作 (PSM) 已被验证用于通过内镜评估喉收缩.
- 在常规的临床实践和灵活的吞内镜评估 (FEES) 协议中,PSM的使用不足.
研究的目的:
- 探索PSM在急性护理环境中的实用性.
- 调查PSM与吞安全性,效率和其他生物机械功能之间的关系.
- 确定PSM与FEES患者临床结果之间的相关性.
主要方法:
- 一项前性观察性研究,涉及222名接受FEES治疗的住院患者.
- 使用标准FEES协议,包括分泌物,喉功能,PSM,吸入和残留物的评估.
- 还记录了吞频率,咳峰值流量和出院时的临床结果.
主要成果:
- 在46%的患者中,PSM受损,与增加的分泌物,吸收和残留物相关.
- 异常的PSM与声带不运动,咳峰流量减少和吞频率降低有关.
- PSM显示出可靠性,与视频光学发现一致,并预测出院时饮食限制的可能性增加了10.38倍.
结论:
- PSM是对内镜吞评估的快速而简单的补充.
- 在预测受损的吞安全性和效率方面,PSM具有显著的潜力.
- 异常的PSM可以作为临床结果的预测器在消化障碍患者.
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