Nawaz Samia, Tulunay-Ugur Ozlem E
Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 543, Little Rock, AR 72205, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 543, Little Rock, AR 72205, USA.
Otolaryngol Clin North Am. 2018 Aug;51(4):769-777. doi: 10.1016/j.otc.2018.03.006. Epub 2018 May 17.
Dysphagia in older adults is a challenging problem and necessitates a team approach. The key to effective management is recognition. Patients tend to dismiss their symptoms as normal aging; therefore, early diagnosis depends on the diligence of the primary care doctors. No diagnostic technique can replace the benefits of a thorough history, with a detailed understanding of nutritional status and aspiration risk. Although one of the main goals in management is to ensure safe swallowing, the impact of a nonoral diet on the quality of life of patients should not be underestimated.
老年人吞咽困难是一个具有挑战性的问题,需要团队协作解决。有效管理的关键在于识别。患者往往将其症状视为正常衰老而不予理会;因此,早期诊断依赖于初级保健医生的勤勉。没有任何诊断技术能够替代全面病史的益处,包括对营养状况和误吸风险的详细了解。尽管管理的主要目标之一是确保安全吞咽,但非经口饮食对患者生活质量的影响不应被低估。