口服摄入难度和吸入肺炎评估使用高分辨率计量仪
Kaori Nishikubo-Tanaka1, Rie Asayama1, Kazutaka Kochi1
1Department of Otolaryngology-Head and Neck Surgery, Ehime University Graduate School of Medicine, Toon, Japan.
The Laryngoscope
|November 2, 2023
概括
失效的顺序吞压力产生与异位症患者口服难度和吸入性肺炎风险增加有关. 这些发现有助于理解失消症的严重程度,并指导营养管理.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
背景情况:
- 吞压力 (SP) 的顺序生成对于从口腔到食道的有效玻尿酸过渡至关重要.
- 消化不良,以吞困难为特征,可以导致严重的并发症,如吸入性肺炎.
研究的目的:
- 为了研究通过高分辨率计量 (HRM) 评估的吞压力 (SP) 序列模式与患有食障碍的患者口服难度和吸入肺炎的临床结果之间的相关性.
主要方法:
- 一项横截面研究招募了202名连续出现食障碍的患者.
- 高分辨率计量 (HRM) 数据根据SP序列模式 (A-D类型) 和上食道关节 (UES) 压力拓 (类型1-2) 进行分类.
- 临床严重程度通过口服难度和吸气肺炎发病率来评估.
主要成果:
- 完全减少 (C型) 或消失 (D型) SP序列的患者,以及不平坦的UES压力 (类型 2) 显示出明显更高的口服难度.
- 类型C和类型2的模式也与更高的吸入性肺炎风险显著相关.
结论:
- 吞压力的顺序生成失败是口服难和吸入性肺炎的重要危险因素.
- 基于HRM的SP序列分析对于了解缺食症病理生理学,评估严重程度和指导安全的营养管理策略是有价值的.
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