Miller Nick
Newcastle University Institute for Ageing, Speech & Language Sciences, George VI Building, Newcastle University, Newcastle upon Tyne NE1 7RU, UK.
Neurodegener Dis Manag. 2017 Jun;7(3):205-217. doi: 10.2217/nmt-2017-0006. Epub 2017 Jun 20.
Changes to swallowing affect most people with Parkinson's disease (PD). Changes may not initially exercise a decisive impact, but can later pose significant threats to nutritional, hydration and respiratory health and psychosocial quality of life. This review, from a largely clinical viewpoint, outlines the nature of changes in PD and considers the issue of how many people are affected and in what ways. It outlines main approaches to assessment and management, with an emphasis on aspects relevant to PD. Dysphagia contributes to drooling in PD. The review therefore also touches on the nature and management of this condition that has its own set of health and psychosocial quality-of-life issues.
吞咽功能的改变影响着大多数帕金森病（PD）患者。这些改变最初可能不会产生决定性影响，但随后可能会对营养、水合作用、呼吸健康以及心理社会生活质量构成重大威胁。本综述主要从临床角度概述了帕金森病吞咽功能改变的性质，并探讨了受影响的人数以及受影响的方式等问题。它概述了评估和管理的主要方法，重点关注与帕金森病相关的方面。吞咽困难会导致帕金森病患者流口水。因此，本综述还涉及了这种状况的性质和管理，它有其自身一系列的健康和心理社会生活质量问题。
