用于吞咽困难管理的增稠液体：液体流动测量的当前综述
Thickened Liquids for Dysphagia Management: a Current Review of the Measurement of Liquid Flow.
作者信息
Barbon Carly E A, Steele Catriona M
机构信息
Swallowing Rehabilitation Research Laboratory, Toronto Rehabilitation Institute - University Health Network, 550 University Avenue, 12th floor, Toronto, ON M5G 2A2, Canada.
Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
出版信息
Curr Phys Med Rehabil Rep. 2018 Dec;6(4):220-226. doi: 10.1007/s40141-018-0197-6. Epub 2018 Aug 25.
PURPOSE OF REVIEW
The use of thickened liquids has become one of the most common management strategies for individuals with dysphagia. The purpose of this paper is to review methods that can be used to measure the flow characteristics of liquids used in dysphagia management. We describe the measurement of apparent viscosity, measures of extensional flow, slump tests (specifically the line-spread test and Bostwick consistometry), gravity flow tests, and subjective methods.
RECENT FINDINGS
We discuss the relationship between different approaches to measuring flow, the 2002 American National Dysphagia Diet and the 2017 International Dysphagia Diet Standardisation Initiative (IDDSI) framework. A comparison of test results across four methods is provided.
SUMMARY
A consistent approach is needed for the measurement of flow for thickened liquids used in dysphagia management. This review highlights differences that can be expected across different flow testing methodologies. Adherence to a common method and measurement definitions will promote patient safety and facilitate future research regarding the effectiveness of texture modification as an intervention for dysphagia.
综述目的
使用增稠液体已成为吞咽困难患者最常用的管理策略之一。本文的目的是综述可用于测量吞咽困难管理中使用的液体流动特性的方法。我们描述了表观粘度的测量、拉伸流动测量、坍落度试验（特别是线扩展试验和博斯托克稠度计）、重力流动试验和主观方法。
最新发现
我们讨论了测量流动的不同方法之间的关系、2002年美国国家吞咽困难饮食标准和2017年国际吞咽困难饮食标准化倡议（IDDSI）框架。提供了四种方法的测试结果比较。
总结
对于吞咽困难管理中使用的增稠液体的流动测量，需要一种一致的方法。本综述强调了不同流动测试方法之间可能存在的差异。采用通用方法和测量定义将促进患者安全，并有助于未来关于质地改良作为吞咽困难干预措施有效性的研究。
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