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使用精神药物的老年患者床边吞咽评估。

Bedside assessment of swallowing in elderly subjects using psychotropic drugs.

机构信息

Master's degree, speech therapist.

Undergraduate student at the Botucatu Medical School (Faculdade de Medicina de Botucatu - UNESP).

出版信息

Braz J Otorhinolaryngol. 2011 Jul-Aug;77(4):526-530. doi: 10.1590/S1808-86942011000400019.

DOI:10.1590/S1808-86942011000400019
PMID:21860982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9450718/
Abstract

UNLABELLED

Neuroleptic drugs are used in several mental disorders, but are suspected of causing oropharyngeal dysphagia, mainly in the elderly.

AIM

To study the effect of neuroleptic agents on swallowing of institutionalized older people.

MATERIAL AND METHOD

A cross sectional study of swallowing in 47 subjects that either used or did not use neuroleptic drugs. Bedside swallowing tests with foods of four different consistencies were carried out.

RESULTS

There was no significant difference between the two groups. Users of neuroleptic medications showed a higher percentage of multiple swallowing while non-users had a higher percentage of oral food escape.

CONCLUSIONS

Neuroleptic agents alone do not affect the mechanism of swallowing in the elderly; nonetheless. Further studies with a larger number of individuals and specific swallowing tests are needed.

摘要

目的

研究神经阻滞剂对住院老年人吞咽功能的影响。

材料和方法

对 47 名使用或未使用神经阻滞剂的患者进行了床边吞咽测试,使用了四种不同稠度的食物。

结果

两组之间无显著性差异。使用神经阻滞剂的患者有更高比例的多次吞咽,而非使用者则有更高比例的口咽食物漏出。

结论

神经阻滞剂单独使用并不影响老年人的吞咽机制;然而,需要进一步进行更多个体和特定吞咽测试的研究。

相似文献

1
Bedside assessment of swallowing in elderly subjects using psychotropic drugs.使用精神药物的老年患者床边吞咽评估。
Braz J Otorhinolaryngol. 2011 Jul-Aug;77(4):526-530. doi: 10.1590/S1808-86942011000400019.
2
[Dysphagia or dysphagias during neuroleptic medication?].[使用抗精神病药物期间的吞咽困难?]
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3
Neuroleptic-induced dysphagia.抗精神病药物所致吞咽困难。
Dysphagia. 1997 Fall;12(4):177-9. doi: 10.1007/PL00009533.
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Antipsychotic medication and oropharyngeal dysphagia: systematic review.抗精神病药物与口咽吞咽困难:系统评价
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Life-threatening dysphagia following prolonged neuroleptic therapy.长期使用抗精神病药物治疗后出现危及生命的吞咽困难。
Clin Neuropharmacol. 1997 Feb;20(1):77-81. doi: 10.1097/00002826-199702000-00009.
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Neuroleptic-induced dysphagia: case report and literature review.抗精神病药物所致吞咽困难:病例报告及文献综述
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Systematic review of case reports of oropharyngeal dysphagia following the use of antipsychotics.抗精神病药物使用后口咽吞咽困难病例报告的系统评价
Gastroenterol Hepatol. 2019 Apr;42(4):209-227. doi: 10.1016/j.gastrohep.2018.09.010. Epub 2018 Nov 20.
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Effects of age, gender, disease, and multisystem involvement on oxygen saturation levels in dysphagic persons.年龄、性别、疾病及多系统受累对吞咽困难患者血氧饱和度水平的影响。
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Swallowing disorders following acute stroke: prevalence and diagnostic accuracy.急性卒中后的吞咽障碍:患病率及诊断准确性
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The interdependency of protein-energy malnutrition, aging, and dysphagia.蛋白质-能量营养不良、衰老与吞咽困难之间的相互依存关系。
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