在老年人中患有焦点结构性的过渡性后点
Sriramya Lapa1, Anna Schwingshackl2, Ulrike Frank3
1Goethe University Frankfurt, Department of Neurology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Epilepsia
|March 8, 2024
概括
发作后的吞障碍,即吞障碍,是一种新描述的过渡性神经系统缺陷. 焦点结构性的老年患者有更高的风险,需要进行查,以早期检测和预防肺炎等并发症.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 发作可以表现为过渡性神经缺陷,如半和失语.
- 暂时的吞变化,称为后口腔失 ?? ,以前没有记录过.
- 这项研究调查了发作后的消化障碍的发生和特征.
研究的目的:
- 为了评估发作后吞障碍的存在.
- 为了评估 postictal dysphagia 的严重程度和持续时间.
- 为了识别 postictal dysphagia 的潜在风险因素和预测因素.
主要方法:
- 选了当地的数据库,用于患者的纤维光学内镜吞评估 (FEES) 检查 (2008-2019).
- 排除了ICU入院,长时间输管,先前存在的消化障碍或并发医疗原因的患者.
- 对人口统计学,性特征,并发症和失消症的过程进行了分析.
主要成果:
- 鉴定了41名患有后点的患者,主要是患有焦点结构性的老年人.
- 在51.2%和48.8%的患者中,分别诊断出轻度和重度的消化不良.
- 缺食症在住院期间显著改善,平均持续时间为3.9天;51.2%的人患上了医院获得的肺炎.
结论:
- 后性消化症代表了后潜在的过渡性神经系统缺陷.
- 患有焦点结构性的老年人被确定为 postictal dysphagia 的高危人群.
- 需要进一步的研究来了解患病率,并发症和预测因素;对于有风险的患者,建议对缺食症进行查.
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