用FEES检查分析多系统性缩患者的吞特征
Francesco Mozzanica1,2, Nicole Pizzorni3, Angelo Eplite3
1Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. francesco.mozzanica@unimi.it.
Dysphagia
|September 21, 2023
概括
多重系统缩 (MSA) 患者经常患有食障碍,其特征是喉阶段延迟和口腔失禁. 吞困难和喉变化在小脑 (MSA-C) 和帕金森症 (MSA-P) 亚型中是相似的.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 语音语言病理学 语音语言病理学
背景情况:
- 缺食症是多系统性缩 (MSA) 中常见但未被研究的症状.
- 了解吞特征对于管理MSA患者至关重要.
- 很少有研究专门分析了MSA亚型的消化不良.
研究的目的:
- 用纤维光学内镜吞评估 (FEES) 来描述MSA患者的吞困难.
- 为了比较主要小脑 (MSA-C) 和帕金森症 (MSA-P) MSA亚型之间的吞能力.
- 在MSA中识别与食障碍相关的喉运动变化.
主要方法:
- 在25名MSA患者 (16名MSA-P,9名MSA-C) 进行了FEES,使用液体,半固体和固体的一致性.
- 分析包括消化不良的安全性,效率,表型和喉运动.
- 我们收集了临床数据 (年龄,性别,FOIS,BMI,GD-UMSARS).
主要成果:
- 延迟喉阶段 (92%) 和后部口腔失禁 (52%) 是最常见的表型.
- 透发生在液体 (68%) 和液体吸入 (20%).
- 声运动障碍 (56%) 是最常见的喉变化;在所有食物纹理中都发现了残留物.
结论:
- 患有MSA的患者经常表现出吞障碍和喉运动变化.
- 在MSA-P和MSA-C亚型之间,失足症的特征和喉变化似乎是相似的.
- 费用提供了有价值的见解吞功能障碍在MSA.
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