评估健康成年人的吞功能,同时使用高流量鼻
Alexander E Graf1, Alla Mehl2, Amelia De Costa2
1Department of Otolaryngology, SUNY Downstate Health Sciences University, Brooklyn, USA.
概括
高流量鼻腔管 (HFNC) 的使用不会显著影响健康个体的吞安全性. 即使在高HFNC流速下,吞功能也在很大程度上不受影响,这表明在呼吸辅助期间可以安全使用.
科学领域:
- 医学 医学 医学 医学 医学
- 身体生理学 身体生理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 高流量鼻腔管 (HFNC) 广泛用于呼吸辅助.
- HFNC对吞生理学和安全性的影响尚不清楚.
- 确定安全的HFNC流量对于吞至关重要.
研究的目的:
- 评估不同HFNC流速对健康个体吞功能和安全的影响.
- 为了确定高流量是否会降低吞安全性.
主要方法:
- 使用灵活内镜吞评估 (FEES) 来评估吞功能.
- 健康的参与者在0,30,40,50和60LPM的HFNC速率下进行了不同食物一致性的吞试验.
- 使用透-吸收量表 (PAS) 评估吞安全性.
主要成果:
- 在所有测试的HFNC流量和一致性中,吞安全性很高.
- 在HFNC流量和吞安全性之间没有发现显著的相关性 (P > 0.05).
- 一小部分不安全的吞发生在60LPM的薄液体中.
结论:
- 高流量鼻腔管 (HFNC) 在健康个体中不会显著影响吸入率.
- 吞安全性似乎即使在高HFNC流速下也保持不变.
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