使用FEES的吞指南可能会缓解功能性消化不良症的症状
Jonna Kuuskoski1, Jami Rekola2, Harri Sintonen3
1Department of Otorhinolaryngology - Head and Neck Surgery, Turku University Hospital and University of Turku, P.O. Box 52, Turku, 20521, Finland. jonna.kuuskoski@varha.fi.
Dysphagia
|September 11, 2025
概括
缺食症患者,特别是功能性缺食症患者,在灵活内镜吞评估 (FEES) 和指导后,症状严重程度降低. 这种干预措施有望改善吞困难和生活质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音学是一种声学.
- 胃肠病学 胃肠病学
背景情况:
- 缺食症是影响患者生活质量的普遍疾病.
- 功能性消化不良症占在专门诊所观察到的病例的很大一部分.
- 评估症状的严重程度,生活质量和残疾对于治疗缺食症至关重要.
研究的目的:
- 为了评估症状严重程度,与健康相关的生活质量 (HRQoL) 和失能患者的残疾.
- 确定灵活内镜吞评估 (FEES) 和吞指南对这些结果的影响.
- 专门评估功能性失调症患者的益处.
主要方法:
- 60名连续患有食障碍的患者完成了EAT-10,15D和WHODAS 2.0问卷.
- 使用灵活的吞内镜评估 (FEES) 和吞指导.
- 干预后一个月,结果被重新评估.
主要成果:
- 显著下降的EAT-10分数对于所有异症患者和功能性异症子组.
- 整体15D和WHODAS 2.0分数没有显著变化,但功能性消化不良症中的特定饮食障碍 (WHODAS 2.0项目D3.3) 得到改善.
- 与一般人群相比,失足症患者的HRQoL显著降低.
结论:
- 简短的FEES干预和吞指导可以缓解消化不良症状,特别是在功能性病例中.
- 缺食症显著影响患者的整体健康相关生活质量.
- 费斯和有针对性的指导提供了一个有价值的治疗方法,用于治疗失调症.
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