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慢性阻塞性肺疾病中吞咽困难与病情加重之间的关系:一项文献综述

Relationship between Dysphagia and Exacerbations in Chronic Obstructive Pulmonary Disease: A Literature Review.

作者信息

Steidl Eduardo, Ribeiro Carla Simone, Gonçalves Bruna Franciele, Fernandes Natália, Antunes Vívian, Mancopes Renata

机构信息

Post-Graduation Student, Department of Speech Therapy, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil.

Department of Physiotherapy, Centro Universitário Franciscano, Santa Maria, RS, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2015 Jan;19(1):74-9. doi: 10.1055/s-0034-1376430. Epub 2014 Nov 6.

Abstract

Introduction The literature presents studies correlating chronic obstructive pulmonary disease to dysphagia and suggesting that the aspiration laryngeal phenomenon related to changes in the pharyngeal phase contributes significantly to the exacerbation of symptoms of lung disease. Objectives This study aimed to conduct a literature review to identify the relation between dysphagia and exacerbations of chronic obstructive pulmonary disease. Data Synthesis We found 21 studies and included 19 in this review. The few studies that related to the subject agreed that the presence of dysphagia, due to lack of coordination between swallowing and breathing, may be one of the triggering factors of chronic obstructive pulmonary disease exacerbation. Conclusions The review noted that there is a relationship between dysphagia and exacerbations of chronic obstructive pulmonary disease, identified by studies demonstrating that the difficulties associated with swallowing may lead to exacerbation of the disease. There was difficulty in comparing studies by their methodological differences. More research is needed to clarify the relationship between dysphagia and exacerbations of chronic obstructive pulmonary disease, making it possible to develop multiprofessional treatment strategies for these patients, catered to specific needs due to the systemic manifestations of the disease.

摘要

引言 文献中呈现了一些将慢性阻塞性肺疾病与吞咽困难相关联的研究,并表明与咽期变化相关的误吸性喉现象在肺部疾病症状加重中起重要作用。目的 本研究旨在进行文献综述,以确定吞咽困难与慢性阻塞性肺疾病加重之间的关系。资料综合 我们找到了21项研究,并在本综述中纳入了19项。少数与该主题相关的研究一致认为,由于吞咽和呼吸之间缺乏协调而导致的吞咽困难可能是慢性阻塞性肺疾病加重的触发因素之一。结论 该综述指出,吞咽困难与慢性阻塞性肺疾病加重之间存在关联,研究表明吞咽相关困难可能导致疾病加重。由于方法学差异,比较研究存在困难。需要更多研究来阐明吞咽困难与慢性阻塞性肺疾病加重之间的关系,从而有可能为这些患者制定多专业治疗策略,以满足因该疾病全身表现而产生的特定需求。

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