在患有神经肌肉疾病的人群中,在NIV期间吞和说话的实用建议
Tiina Maarit Andersen1,2, Lee Bolton3, Michel Toussaint4
1Thoracic Department, Haukeland University Hospital, Bergen, Norway.
概括
非侵入性通风 (NIV) 可以对患有神经肌肉疾病的个体来说,挑战饮食和说话. 本综述提供了实用建议,并强调了关于NIV使用的进一步研究和指导方针的需要.
科学领域:
- 神经学 神经学
- 呼吸系统医学 呼吸系统医学
- 语音语言病理学 语言病理学
背景情况:
- 上呼吸道肌肉对于吃饭,喝酒和说话等重要功能至关重要.
- 长期使用白天非侵入性通风 (NIV) 可以影响这些肌肉的协调,特别是在患有神经肌肉疾病的个体中.
研究的目的:
- 探索在患有神经肌肉疾病的个体中使用白天非侵入性通风 (NIV) 时吃,喝和说话的挑战和实用性.
- 总结现有的文献,并提供在NIV使用期间管理这些功能的实际指导.
主要方法:
- 使用PubMed从2000年到2023年进行了一项快速文献审查.
- 在使用NIV的神经肌肉疾病患者中,与饮食,饮酒和说话相关的通用搜索术语被使用.
- 使用叙事方法来综合所选研究的发现.
主要成果:
- 现有的关于NIV对神经肌肉疾病中吞和说话的影响的研究是有限的.
- 该审查总结了关于NIV与这些功能之间的相互作用的发现.
- 提供了在NIV使用期间优化饮食,饮酒和说话的实用建议.
结论:
- 在使用NIV时优化吞和说话可以通过了解呼吸,NIV机制和上呼吸道相互作用来实现.
- 对于管理这些功能而言,缺乏具体的指导方针.
- 由于对志向的担忧,需要进一步研究和制定全面的指导方针.
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