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肺癌手术后可能发生的肌少症性吞咽困难的康复营养:一例报告

Rehabilitation Nutrition for Possible Sarcopenic Dysphagia After Lung Cancer Surgery: A Case Report.

作者信息

Wakabayashi Hidetaka, Uwano Rimiko

机构信息

From the Department of Rehabilitation Medicine, Yokohama City University Medical Center, Yokohama, Japan.

出版信息

Am J Phys Med Rehabil. 2016 Jun;95(6):e84-9. doi: 10.1097/PHM.0000000000000458.

Abstract

Sarcopenic dysphagia is characterized by the loss of swallowing muscle mass and function associated with generalized loss of skeletal muscle mass and function. In this report, the authors describe a patient with possible sarcopenic dysphagia after lung cancer surgery and was treated subsequently by rehabilitation nutrition. A 71-year-old man with lung cancer experienced complications of an acute myocardial infarction and pneumonia after surgery. He was ventilated artificially, and a tracheotomy was performed. The patient received diagnoses of malnutrition, severe sarcopenia, and possible sarcopenic dysphagia. His dysphagia was improved by a combination of dysphagia rehabilitation including physical and speech therapy and an improvement in nutrition initiated by a nutrition support team. Finally, he no longer had dysphagia and malnutrition. Sarcopenic dysphagia should be considered in patients with sarcopenia and dysphagia. Rehabilitation nutrition using a combination of both rehabilitation and nutritional care management is presumptively useful for treating sarcopenic dysphagia.

摘要

肌少症性吞咽困难的特征是吞咽肌肉质量和功能丧失,这与骨骼肌质量和功能的普遍丧失有关。在本报告中,作者描述了一名肺癌手术后可能患有肌少症性吞咽困难的患者,随后接受了康复营养治疗。一名71岁的肺癌男性患者术后出现急性心肌梗死和肺炎并发症。他接受了人工通气,并进行了气管切开术。该患者被诊断为营养不良、严重肌少症和可能的肌少症性吞咽困难。通过吞咽困难康复(包括物理和言语治疗)以及营养支持团队启动的营养改善相结合,他的吞咽困难得到了改善。最后,他不再有吞咽困难和营养不良。对于患有肌少症和吞咽困难的患者,应考虑肌少症性吞咽困难。使用康复和营养护理管理相结合的康复营养可能有助于治疗肌少症性吞咽困难。

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