口腔喉乱症:对综合的神经老年学视角的叙述性回顾
Bendix Labeit1, Sriramya Lapa2, Gero Lueg3
1Department of Neurology, Medical Faculty, University Hospital Düsseldorf, Heinrich Heine-University Düsseldorf, Düsseldorf, Germany.
The lancet. Healthy longevity
|December 5, 2025
概括
老年人的口腔喉乱会给健康带来严重的风险. 神经老年学方法,结合神经学和老年病学,提供了改进的管理和神经治疗的潜力,以提高吞功能.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 口腔喉功能障碍在神经衰老患者中很常见,导致营养不良,肺炎和死亡率.
- 它呈现为一个复杂的综合征,有各种原因和症状.
- 与年龄相关的变化,如长,肉症和神经可塑性降低加剧了失症.
研究的目的:
- 倡导一种神经老年学观点,将神经学和老年学护理整合起来,用于治疗失调症.
- 为了突出消化不良症作为神经治疗的目标.
- 改善患者的治疗结果,降低与口腔喉乱相关的死亡率.
主要方法:
- 将神经学的见解与老年护理原则相结合.
- 识别疾病特异的神经表现,用于诊断.
- 在特定条件下探索神经药物的益处 (例如,乙胆酶抑制剂,多巴胺作用剂).
- 实施跨疾病治疗策略.
主要成果:
- 神经疗法在治疗像骨髓质疏松症和帕金森病这样的疾病中的消化不良方面表现有前途.
- 与年龄相关的因素显著导致失消症的病理生理学.
- 综合管理策略改善了吞生理学和患者的生活质量.
结论:
- 神经老年学方法对于有效的口腔喉乱症管理至关重要.
- 神经学干预和药理学药物具有治疗缺食症的潜力.
- 目前正在进行的研究重点是改进评估,识别预测因素和评估神经刺激以获得更好的结果.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.1K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.1K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
780
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
780
Pharmacodynamics in Geriatric Patients: Effects of Age
180
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
180
Gastroesophageal Reflux Disease II: Clinical Features and Management
662
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
662
Taste Buds and Receptors
4.5K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
4.5K
Esophageal Strictures-II: Clinical Features and Management
393
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
393


