手术干预的临床意义 恢复吞功能 持续严重的缺食症的临床意义
Hiroaki Ito1, Asuka Nagao1, Suguru Maeda1
1Department of Otolaryngology, Kochi Medical School, Kohasu, Okou-cho, Nankoku 783-8505, Japan.
Journal of clinical medicine
|September 9, 2023
概括
手术干预可以恢复严重消化不良患者的吞功能,改善许多人口服摄入量. 然而,对于那些有认知问题或晚年的人来说,结果可能会更差.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 由于人口老龄化,食障碍的患病率增加.
- 恢复口服饮食摄入量和重症消化障碍患者的生活质量的挑战.
- 需要有效的治疗策略,超越传统的康复.
研究的目的:
- 为了评估手术干预治疗慢性严重消化不良症的疗效.
- 评估手术对吞功能和口服摄入的影响.
- 为了确定影响食障碍患者手术结果的因素.
主要方法:
- 对25名慢性消化不良患者 (平均年龄为70.4岁) 的回顾性研究.
- 外科手术包括喉和下肌肉切除,在某些情况下还增加了喉升高和声中介化.
- 使用食物摄入水平量表 (FILS) 和视频内镜检查得分 (VEES) 评估的吞功能.
主要成果:
- 72%的患者在手术后恢复了口服食物摄入.
- 64%的患者在最后的随访时保持了改善的口服摄入量.
- 在术后观察到VEES得分的显著改善.
- 在认知障碍或晚年患者中观察到较差的结果.
结论:
- 手术是重症慢性消化不良症恢复吞功能的可行选择.
- 仔细选择患者对于优化手术结果至关重要.
- 需要进一步的研究来完善外科治疗的指示,并改善特定患者群体的结果.
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