中风后吞咽困难：概述
Dysphagia after Stroke: an Overview.
作者信息
González-Fernández Marlís, Ottenstein Lauren, Atanelov Levan, Christian Asare B
出版信息
Curr Phys Med Rehabil Rep. 2013 Sep;1(3):187-196. doi: 10.1007/s40141-013-0017-y.
Abstract
Dysphagia affects the vast majority of acute stroke patients. Although it improves within 2 weeks for most, some face longstanding swallowing problems that place them at risk for pneumonia, malnutrition, dehydration, and significantly affect quality of life. This paper discusses the scope, the disease burden, and the tools available for screening and formal evaluation of dysphagia. The most common and recently developed treatment interventions that might be useful in the treatment of this population are discussed.
摘要
吞咽困难影响绝大多数急性中风患者。尽管大多数患者在2周内吞咽困难会有所改善，但仍有一些患者面临长期的吞咽问题，这使他们有患肺炎、营养不良、脱水的风险，并严重影响生活质量。本文讨论了吞咽困难的范围、疾病负担以及用于筛查和正式评估吞咽困难的工具。文中还讨论了可能有助于治疗这类患者的最常见及最新开发的治疗干预措施。
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本文引用的文献
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2
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Am J Speech Lang Pathol. 2011 Nov;20(4):331-6. doi: 10.1044/1058-0360(2011/10-0082). Epub 2011 Aug 3.
3
Biomechanical analysis of hyoid bone displacement in videofluoroscopy: a systematic review of intervention effects.视频透视下舌骨位移的生物力学分析：干预效果的系统评价。
Dysphagia. 2011 Jun;26(2):171-82. doi: 10.1007/s00455-010-9318-9. Epub 2010 Dec 17.
4
Analysis of a physician tool for evaluating dysphagia on an inpatient stroke unit: the modified Mann Assessment of Swallowing Ability.分析一种用于评估住院脑卒中单元吞咽障碍的医生工具：改良的曼吞咽能力评估。
J Stroke Cerebrovasc Dis. 2010 Jan;19(1):49-57. doi: 10.1016/j.jstrokecerebrovasdis.2009.03.007.
5
Relevance of subcortical stroke in dysphagia.皮质下卒中与吞咽困难的相关性。
Stroke. 2010 Mar;41(3):482-6. doi: 10.1161/STROKEAHA.109.566133. Epub 2010 Jan 21.
6
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Dysphagia. 2010 Mar;25(1):40-65. doi: 10.1007/s00455-009-9239-7. Epub 2009 Sep 17.
7
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8
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10
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