在COVID-19患者中出现异常吞特征
Pajeemas Kittipanya-Ngam1,2, Marlís González-Fernández3
1Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD, 21287, USA.
COVID-19患者经常经历吞困难 (吞障碍),包括沉默渴望的高率. 鉴别这些不正常的吞特征对于有效的患者管理至关重要.
科学领域:
- 临床医学 临床医学
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 中度至重度的COVID-19可能导致严重的健康并发症.
- 缺食症是COVID-19幸存者的新出现的并发症.
- 视频光镜吞研究 (VFSS) 对于评估吞功能至关重要.
研究的目的:
- 使用VFSS. 在中度至重度的COVID-19患者中表征异常吞特征.
- 为了确定这种患者队列中食障碍和渴望的流行率.
- 分析通过修改的酸吞障碍概况 (MBSImP) 确定的特定吞障碍.
主要方法:
- 来自JH CROWN队列的3660名中度至重度COVID-19患者的回顾性分析 (2020年1月至2022年3月).
- VFSS转诊率和吞特征被抽象并报告.
- 修改的酸吞障碍概况 (MBSImP) 用于评估吞障碍.
主要成果:
- 16%的患者患有食障碍,只有一半接受了VFSS.
- 在那些患有失症的人中,39.3%患有严重的COVID-19 (严重程度为7级),39%吸气,30%患有静音吸气.
- 常见的障碍包括舌头控制不良 (40%),喉吞启动延迟 (65.2%),喉前置关闭减少 (64.5%).
结论:
- COVID-19患者表现出各种口腔和喉吞异常.
- 在这个人群中,沉默的愿望是一个重要的关注点.
- 区分COVID-19诱导的消化不良症与输出管后消化不良症是一个临床挑战.
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