帕金森症患者的吞特征和吞水的能力
Per Martell1,2,3, Örjan Skogar4, Liza Bergström5,6,7
1Department of Speech and Language Pathology, Region Halland, 30185, Halmstad, Sweden.
Dysphagia
|May 4, 2024
概括
在帕金森症患者中,即使在疾病的早期阶段,食障碍和渴望也是常见的. 早期评估对于管理吞困难和预防并发症至关重要.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 语音语言病理学 语音语言病理学
背景情况:
- 在帕金森症中,缺食症和渴望的患病率有很大差异.
- 评估方法,疾病阶段和持续时间影响观察到的特征.
研究的目的:
- 为了评估不同帕金森症亚型的消化不良和渴望特征.
- 使用仪器 (FEES) 和非仪器 (TWST) 评估.
- 为了将吞问题与疾病的严重程度和持续时间相关联.
主要方法:
- 74名帕金森症患者的前性评估,使用灵活内镜吞评估 (FEES) 和定时水吞测试 (TWST).
- 统计分析包括斯皮尔曼等级相关性和非参数测试 (曼·惠特尼大学,克鲁斯卡尔·瓦利斯).
- 消化不良,渴望,帕金森氏症亚型,疾病严重程度 (霍恩和雅尔尺度) 和持续时间之间的相关性分析.
主要成果:
- 缺食症 (缺食症结果严重程度尺度1-5级) 在67.6%的患者中观察到.
- 42%的患者在FEES期间吸气,其中68%的患者经历了无声吸气.
- 吸血频率随着Hoehn和Yahr分数的提高和疾病持续时间的延长而增加.
- 薄液体带来了最高的吸入风险,随着更厚的一致性而下降.
- 在疾病早期阶段和所有帕金森症子组中都存在食障碍和渴望.
结论:
- 在帕金森症中,缺食症和渴望症非常普遍,甚至在疾病早期阶段也会发生.
- 建议进行早期和全面的吞评估,以获得最佳的患者管理.
- 及时干预可以帮助预防帕金森症患者的渴望相关并发症.
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