在中风后的消化不全症中吞的喉阶段:视频内镜和语音语言听力评估
Ramon Cipriano Pacheco de Araújo1, Lidiane Maria de Brito Macedo Ferreira2, Cynthia Meira de Almeida Godoy2
1Programa de Pós-graduação em Fonoaudiologia, Universidade Federal do Rio Grande do Norte - UFRN - Natal (RN), Brasil.
CoDAS
|August 21, 2024
概括
与没有中风的人相比,患有慢性中风的人在吞各种食物的一致性时经历了更多的喉残留物,喉透和吸收.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 消化不良或吞困难是慢性中风患者的常见并发症.
- 了解中风对不同食物质感的吞功能的影响,对于临床管理至关重要.
研究的目的:
- 为了比较喉吞阶段的结果,在患有和没有慢性中风的消化不良患者中使用光纤内镜评估.
- 分析国际消化不良饮食标准化倡议 (IDDSI) 定义的各种食物一致性的吞功能.
主要方法:
- 一项横截面的回顾性研究分析了134个吞检查 (FEES) 的光纤内镜评估.
- 根据慢性中风的存在或不存在来分组患者.
- 数据包括四种IDDSI一致性中的舌头移动性,发音,咳,喉症状和残留严重程度 (耶鲁喉残留严重程度评级表).
主要成果:
- 在所有测试的食物一致性 (IDDSI水平0,2,4,7) 中,在中风和非中风组之间观察到喉残留物,喉透和喉吸收的显著差异 (p < 0.001).
- 在中风组 (p = 0.026) 中,多次吞与薄液体,略加厚的液体和固体一致性 (IDDSI水平0,2,7) 有显著的关联.
结论:
- 慢性中风显著影响客观的吞测量,包括喉残留物,喉透和吸入,无论食物的一致性如何.
- 需要多次吞的需求因食物的一致性而异,对于中风患者来说,在薄液体和固体中更为普遍.
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