患有意识障碍的患者的吞功能管理:一个范围审查
Hua Long1,2, Bixia Lu3, Qiao Tan3
1Department of Clinical Nursing, Second Xiangya Hospital, Central South University, Changsha, China.
Frontiers in neuroscience
|May 1, 2025
概括
患有意识障碍的患者通常会遇到吞困难. 本次审查强调了需要标准化评估和定制干预措施,以改善吞功能和患者的结果.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 语音语言病理学 语言病理学
背景情况:
- 患有意识障碍 (DoC) 的患者经常表现出食障碍.
- 目前对DoC中吞困难的评估和干预策略缺乏系统的描述和标准化.
研究的目的:
- 对DoC患者的吞功能的评估方法和康复干预措施进行全面的范围审查.
- 为了确定文献中的空白,关于在这个人群中评估和管理食障碍.
主要方法:
- 根据PRISMA-ScR指南进行了系统范围审查.
- 搜索了多个数据库 (PubMed,科学网络,Embase等) 在2024年6月之前,对吞功能评估或对DoC的干预进行研究.
- 包括的研究基于阿克西和奥马利的框架进行了分析.
主要成果:
- 评估方法包括临床,基于规模和基于仪器的评估.
- 干预包括感官刺激,K点刺激,功能性口服摄入疗法,输液管养,神经肌肉电刺激和针.
- 吞评估和干预的时间在审查的研究中往往没有具体说明.
结论:
- 显著缺乏标准化的方法来评估和管理DoC患者的吞功能.
- 根据评估结果量身定制的基于证据的管理计划对于改善吞功能和患者结果至关重要.
- 进一步高质量的研究是必不可少的,以比较评估准确性和开发个性化干预措施.
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