老年人吞咽困难
Dysphagia in the elderly.
作者信息
Aslam Muhammad, Vaezi Michael F
机构信息
Dr Aslam is a research assistant professor and Dr Vaezi is a professor of medicine in the Division of Gastroenterology, Hepatology, and Nutrition at Vanderbilt University Medical Center in Nashville, Tennessee.
出版信息
Gastroenterol Hepatol (N Y). 2013 Dec;9(12):784-95.
Abstract
Elderly patients are inherently predisposed to dysphagia predominately because of comorbid health conditions. With the aging of the population in the United States, along with the increased prevalence of obesity and gastroesophageal reflux disease, healthcare providers will increasingly encounter older patients with either oropharyngeal or esophageal disease and complaints of dysphagia. Useful tests to evaluate dysphagia include the videofluoroscopic swallowing study and the fiberoptic endoscopic evaluation of swallowing. Swallow rehabilitation is useful to help patients compensate for swallowing difficulty and ultimately help strengthen the neuromusculature involved in swallowing.
摘要
老年患者由于合并健康问题，天生更容易出现吞咽困难。随着美国人口老龄化，以及肥胖症和胃食管反流病患病率的上升，医疗服务提供者将越来越多地遇到患有口咽或食管疾病并伴有吞咽困难主诉的老年患者。评估吞咽困难的有用检查包括电视荧光吞咽造影检查和纤维内镜吞咽功能评估。吞咽康复有助于帮助患者代偿吞咽困难，并最终有助于增强参与吞咽的神经肌肉组织。
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1
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Mult Scler. 2010 Mar;16(3):362-5. doi: 10.1177/1352458509358089.
2
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Gastroenterology. 2010 May;138(5):1737-46. doi: 10.1053/j.gastro.2010.01.052. Epub 2010 Feb 2.
3
Speech and Swallowing in Parkinson's Disease.帕金森病中的言语与吞咽
Top Geriatr Rehabil. 2008;24(2):115-126. doi: 10.1097/01.TGR.0000318899.87690.44.
4
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Cerebrovasc Dis. 2009;28(3):283-9. doi: 10.1159/000228711. Epub 2009 Jul 16.
5
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6
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Dysphagia. 2009 Dec;24(4):403-11. doi: 10.1007/s00455-009-9217-0. Epub 2009 May 27.
7
The safety of fiberoptic endoscopic evaluation of swallowing in acute stroke patients.急性卒中患者吞咽功能的纤维内镜评估安全性
Stroke. 2009 Feb;40(2):482-6. doi: 10.1161/STROKEAHA.108.520775. Epub 2008 Dec 12.
8
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Phys Med Rehabil Clin N Am. 2008 Nov;19(4):853-66, ix-x. doi: 10.1016/j.pmr.2008.06.002.
9
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Phys Med Rehabil Clin N Am. 2008 Nov;19(4):769-85, viii. doi: 10.1016/j.pmr.2008.06.004.
10
Effects of therapy for dysphagia in Parkinson's disease: systematic review.帕金森病吞咽困难的治疗效果：系统评价
Dysphagia. 2009 Mar;24(1):91-102. doi: 10.1007/s00455-008-9180-1. Epub 2008 Oct 18.
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