累积的分泌物和相关的空气消化功能在患有缺食症的患者
Alexandra Hunting1, Belinda Steffanoni2, Angela Jacques3,4
1Speech Pathology Department, Sir Charles Gairdner Hospital, Perth, Australia.
American journal of speech-language pathology
|September 11, 2023
概括
累积的喉和喉分泌物在住院患者中很常见. 这些分泌物与吞功能受损和吸入风险增加相关,突出了需要有针对性的管理策略.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 胃肠病学 胃肠病学
背景情况:
- 累积的喉和喉分泌物与食障碍,渴望和不良健康结果有关.
- 目前对驱动分泌物积累的机制的理解有限,这阻碍了有效的治疗.
- 病理生理学的见解对于开发针对性干预措施来管理分泌物至关重要.
研究的目的:
- 在大量急性护理住院患者中确定累积的喉分泌物的患病率.
- 调查喉分泌物与气消化功能之间的关系.
主要方法:
- 一项前性研究涉及222名住院患者,他们被转诊接受了柔性内镜评估 (FEES).
- 标准化的FEES协议包括分泌评估 (新西兰分泌量表 - NZSS),喉功能测试和喉感觉/运动评估.
- 收集了关于吞频率,咳峰值呼气流和出院时临床结果的数据.
主要成果:
- 累积分泌物的高发病率被观察到:77%的NZSS得分升高,37%的喉分泌物聚集在一起.
- 累积的分泌物与减少吞频率,损伤喉补充器反射和减少峰值呼气流量显著相关.
- NZSS得分与缺食症严重程度测量和患者结果相关,包括肺炎风险和饮食建议.
结论:
- 这项研究提供了大量证据,将感觉和运动障碍与分泌物积累和吸入风险联系起来.
- 识别潜在的分泌物积累的关键生理机制可以指导开发有针对性的分泌物管理协议.
- 对这些机制的进一步研究对于推进治疗缺食症的临床实践至关重要.
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