一个回顾性队列研究高流量鼻氧气和吞
Cintamani H Ellsworth1, Rebecca S Bartlett1
1Department of Communication Sciences and Disorders, College of Health and Human Services, Northern Arizona University, Flagstaff Arizona, United States.
Respiratory care
|February 19, 2025
概括
高流量鼻腔管 (HFNC) 氧气治疗与重病患者的吸入风险增加和吞功能受损有关. 需要进一步的研究来理解这种关联,并指导患者的护理.
科学领域:
- 关键护理医学 关键护理医学
- 语音语言病理学 语音语言病理学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 高流量鼻腔管 (HFNC) 是重症患者常见的氧气输送方法.
- 现有的关于HFNC对吞功能和渴望的影响的文献是有限的和不确定的.
- 本研究调查了HFNC使用与吞障碍之间的关系.
研究的目的:
- 为了确定高流鼻管 (HFNC) 治疗是否与吸入风险增加有关.
- 评估HFNC对住院患者整体吞功能的影响.
- 在HFNC治疗期间识别与口服饮食相关的潜在风险.
主要方法:
- 一个单一中心,主体内,重复措施的回顾性研究,涉及21名住院患者.
- 在使用HFNC期间和停止使用后,对吞进行了灵活内镜评估 (FEES).
- 仪器吞评估 (FEES或修改的吞) 分析了吸入,静音吸入和整体吞功能.
主要成果:
- 在接受HFNC时,相比于不接受HFNC时,吸气的患者比例显著更高 (61.9%与23.8%,P=.033).
- 在HFNC治疗的患者中,整体吞功能明显比HFNC治疗的患者更受损 (P<.001).
- 在HFNC和非HFNC条件之间的静音吸气率没有发现显著差异 (P=.32).
结论:
- 高流量鼻腔管 (HFNC) 治疗是关于患者耐受口服摄入的能力的一个重要因素.
- 在开始口服养之前,仪器化吞评估可能对HFNC的患者有益.
- 需要对更大,分层的人群进行进一步的前性研究,以充分阐明HFNC对吞功能的影响.
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