在患有异常性支气管切开症的患者中,无症状的缺血症和吸血症
Tal Perluk1, Eiman Abu Bandora2, Ophir Freund3
1Institute of Pulmonary Medicine, Tel-Aviv Sourasky Medical Center, School of Medicine, Tel-Aviv University, 6 Weizman St., 6423906, Tel Aviv-Yafo, Israel. Talmp@tlvmc.gov.il.
异常性支气管支气管 (IB) 患者经常经历未经诊断的吞问题 (吞障碍) 和沉默的吸收. 建议使用EAT-10问卷进行查,得分为3或更高,表明需要进一步评估.
科学领域:
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
- 临床医学 临床医学
背景情况:
- 异常性支气管炎症 (IB) 是一种慢性肺部疾病.
- 缺食症和沉默的渴望被怀疑是IB的贡献者,但没有定期评估.
- 在IB患者中缺乏对这些疾病的系统评估.
研究的目的:
- 为了确定未被诊断的消化不良和无声吸收在异常性支气管切除症患者的患病率.
- 为了确定临床参数,可以预测缺食症和沉默渴望的存在.
主要方法:
- 在IB患者中进行前性队列研究,这些患者没有先前的消化障碍史.
- 使用食用评估工具 (EAT-10) 调查问卷评估吞功能.
- 用于详细的吞评估的纤维光学内镜评估 (FEES).
主要成果:
- 44.6%的患者有吞问题的风险 (EAT-10分数≥3).
- 89.3%的人在FEES上有异常的吞参数,12.7%的人表现出渴望.
- 一个EAT-10得分为3的准确预测了吸收 (AUC=0.78,灵敏度=83%).
结论:
- 缺血症是常见的,并且在异常性支气管切除症患者中经常未被诊断出来的.
- 建议所有IB患者使用EAT-10问卷进行常规查.
- 患有EAT-10分数≥3的患者应转诊进行正式的吞评估.
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