喉电刺激在输出之前 - 减少急性中风患者输出失败率?
Paul Muhle1, Inga Claus1, Bendix Labeit1
1University Hospital Muenster, Department of Neurology with Institute for Translational Neurology, Albert-Schweitzer-Campus 1A, 48149 Muenster, Germany.
Journal of critical care
|April 6, 2024
概括
在输出之前早期的喉电刺激 (PES) 显著减少了输出失败,并改善了脑卒中患者的吞功能. 这种干预也缩短了出院的时间,突出了其在重症监护机构的潜在好处.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 脑卒中患者经常经历食障碍,增加输出管失败和并发症的风险.
- 在中风患者中,机械通风需要在输出过程中进行仔细的管理.
研究的目的:
- 评估喉电刺激 (PES) 在减轻输出失败风险方面的有效性.
- 评估PES对口腔直管中风患者吞功能和临床结果的影响.
主要方法:
- 一项前性研究比较了32名高风险的食障碍患者在输出前接受PES治疗,与追溯匹配的对照组进行了比较.
- 关键的终点包括再灌输率,吞功能 (使用FEES),肺炎发病率和停留时间.
主要成果:
- 与对照组相比,PES组的纤维光学内镜性失症严重性评分 (FEDSS) 和72小时再灌输率明显较低.
- 虽然肺炎发病率在PES组较低,但这种差异在统计学上并不显著.
- 接受PES治疗的患者从输出管到出院的时间显著缩短.
结论:
- 喉电刺激 (PES) 可以增强吞功能,并减少机械通风中风中风患者的吞失败.
- 治疗PES似乎缩短了输出管术后住院的时间.
- 需要进一步的研究来证实这些发现,并探索PES的全部潜力.
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