气管切开导管对神经源性吞咽困难患者吞咽频率的影响。

The influence of tracheotomy tubes on the swallowing frequency in neurogenic dysphagia.

作者信息

Seidl Rainer O, Nusser-Müller-Busch Ricki, Ernst Arne

机构信息

Department of Otolaryngology at UKB, Free University of Berlin, Berlin, Germany.

出版信息

Otolaryngol Head Neck Surg. 2005 Mar;132(3):484-6. doi: 10.1016/j.otohns.2004.09.047.

DOI:10.1016/j.otohns.2004.09.047

PMID:15746866

Abstract

OBJECTIVES

To compare the swallowing frequency in patients with neurogenic dysphagia with or without tracheotomy tubes (TT) to assess the underlying mechanisms of dysphagia to improve rehabilitation strategies.

STUDY DESIGN AND SETTING

Prospective study, 10 patients (64 +/- 7 years) with neurogenic dysphagia. Glasgow Coma Scale (GCS) less than 8 points, tracheotomy due to the dysphagia 2 weeks before the examination. The swallowing frequency (1 or less over 5 min) was assessed over 5 consecutive days with or without TT.

RESULTS

The swallowing frequency increased after removal of the TT. These findings did not influence the GCS or the Coma Remission Scale. Over a 5-day period, the frequency of swallowing was increased.

CONCLUSION

TTs decisively influence the swallowing behavior of vegetative patients. This phenomenon could be based on an improved sensitivity under re-established physiological expiration. We strongly favor removing the TT or deflating the cuff of the TT under therapeutic conditions in a rehabilitation therapy setting.

摘要