患有严重COVID-19的患者的缺食症:一个回顾性研究
Rie Asayama1, Kaori Tanaka-Nishikubo2, Masahiro Okada2
1Department of Otolaryngology, Head and Neck Surgery, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, 791-0295, Japan. asayama.rie.jv@ehime-u.ac.jp.
严重的COVID-19幸存者可能会面临口服摄入难度口术后. 年龄较大,通风时间较长以及糖尿病等并发症增加了这种风险,需要对吞功能进行早期干预.
科学领域:
- 医学 医学 医学 医学 医学
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
背景情况:
- 2019年严重的冠状病毒病 (COVID-19) 可能导致影响患者康复的并发症.
- 消化不良或吞困难是重症监护患者的潜在脱口术后问题.
- 了解COVID-19中脱口术后失足症的发病率和风险因素对于患者管理至关重要.
研究的目的:
- 为了调查严重COVID-19患者的输出管后消化不良的发生率.
- 在这个患者群体中识别与口服摄入困难相关的风险因素.
主要方法:
- 在2021年8月至2022年3月期间治疗的46名严重COVID-19患者的回顾性研究.
- 修改的吞水试验 (MWST) 用于评估养结果.
- 在怀疑吸血或神经麻时进行的吞纤维光学内镜评估 (FEES).
主要成果:
- 46名患者中有14名 (30.4%) 在输出管后经历了口服摄入的困难.
- 与口服摄入困难相关的因素包括年龄较大,住院时间较长,长时间的机械通风,气管切除术,糖尿病以及输管时C反应蛋白 (CRP) 和公素 (PCT) 水平升高.
- 观察到的口服摄入困难率低于一些研究中以前报告的水平.
结论:
- 大约30.4%的严重COVID-19患者在输出管后遇到口服难度.
- 建议对高风险患者进行早期诊断和干预,考虑到年龄,并发病症和通风/气管切除术的持续时间,以预防吸气性肺炎和改善吞功能.
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