短期与长期输液管道对言语和吞的影响的比较
1From the Department of Physical Medicine and Rehabilitation, Rutgers University-New Jersey Medical School, Newark New Jersey (JRB and AN).
American journal of physical medicine & rehabilitation
|October 30, 2024
概括
在非侵入性正压通风中输出输出管患者的呼吸故障,无论输入管的持续时间如何,都没有对言语或吞产生负面影响. 这种方法可以避免与气管切除和胃口切除管相关的并发症.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 呼吸机依赖的患者故障可以被输管到非侵入性的正压通风.
- 输出管的延迟可能会对言语和吞功能产生负面影响.
研究的目的:
- 为了比较短期 (<3周) 与长期 (≥3周) 输入管对输入管后言语和吞的影响.
- 评估在患有呼吸道故障的患者中,是否需要用胃口管进行脱口术.
主要方法:
- 对165名患有呼吸道故障的患者的回顾性图表审查.
- 分析输入管的持续时间,频率和需要胃口管的情况.
- 语音恢复的评估 术后发声.
主要成果:
- 所有患者在2小时至3天内恢复了医院预先住院的言语状态.
- 在短期和长期输管组之间,胃口管的需求没有显著差异 (10.6%与8.2%).
- 短组的平均输内管持续时间为9.9天,长组的平均持续时间为39.0天.
结论:
- 短期和长期输管治疗并没有对言语或吞产生不同的不良影响.
- 以非侵入性正压通风为替代气管切割的可行替代方案,可降低与胃口管相关的发病率和死亡率.
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