在COVID-19患者的脱口术后患者的FEES检查中,缺食症的特征
Francesco Mozzanica1,2, Nicole Pizzorni3, Sibora Rama3,4
1Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
患有严重COVID-19的患者经常会出现吞困难,包括晚期喉阶段和推进性缺陷,即使在重症监护室 (ICU) 退院后. 吞的纤维光学内镜评估 (FEES) 显示,随着时间的推移,情况有所改善,但许多人仍然需要进行养修改.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
- 神经学 神经学
背景情况:
- 严重的COVID-19可能导致长时间的输管治疗和重症监护室 (ICU) 停留.
- 在ICU后的患者经常表现出食障碍,影响口服摄入量和恢复.
- 吞的纤维光学内镜评估 (FEES) 是评估吞功能的关键诊断工具.
研究的目的:
- 分析Fibreoptic Endoscopic Evaluation of Swallowing (FEES) 在接受管道养的患者中从COVID-19中恢复过来的发现.
- 描述严重的COVID-19幸存者的吞障碍及其进展.
- 用FEES和功能性口服摄入量表 (FOIS) 评分来评估干预和恢复轨迹的有效性.
主要方法:
- 在ICU住院后,有17名被直管的患者接受了FEES评估.
- 评估的参数包括分泌物的聚合,消化不良表型,透/吸收以及吞后的残留物.
- 记录了功能性口服摄入量表 (FOIS) 评分,重复FEES在两周后对明显受损的人进行重复FEES.
主要成果:
- 所有17名患者最初都接受了输管养.
- FEES揭示了常见的失现象,如推进性缺陷和延迟的喉阶段.
- 经常观察到分泌物,透/吸收和残留物的聚合;7名患者转向部分或全部口服养.
- 在第二次FEES检查中,FOIS分数显著改善.
结论:
- 在严重的COVID-19幸存者中,吞障碍的特点是推进性缺陷和延迟的喉阶段.
- 尽管情况有所改善,但由于持续的吞困难,许多患者需要持续修改食.
- 费用对于识别特定的吞问题和监测COVID-19后患者的康复至关重要.
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