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2019冠状病毒病大流行期间的吞咽困难管理:文献综述与国际指南

Dysphagia management during COVID-19 pandemic: A review of the literature and international guidelines.

作者信息

Eyigör Sibel, Umay Ebru

机构信息

Department of Physical Medicine and Rehabilitation, Ege University Faculty of Medicine, Izmir, Turkey.

Department of Physical Medicine and Rehabilitation, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

出版信息

Turk J Phys Med Rehabil. 2021 Sep 1;67(3):267-274. doi: 10.5606/tftrd.2021.8427. eCollection 2021 Sep.

Abstract

In this review, we present the safest and most effective diagnosis and treatment approaches to dysphagia during the novel coronavirus-2019 (COVID-19) pandemic in the light of available data, relevant literature, and personal experiences. Evaluations for dysphagia patients should be based on clinical assessment during the COVID-19 pandemic and instrumental assessment should be planned for very few number of patients. The main approach to rehabilitation must depend on compensatory methods, texture-modified foods, and postural strategies. Direct treatment methods should be avoided and home-based exercise programs should be encouraged. It is also obvious that there is a need for the development of new strategies for telemedicine/telerehabilitation practices in the new world order.

摘要

在本综述中,我们根据现有数据、相关文献及个人经验,介绍在2019新型冠状病毒(COVID-19)大流行期间针对吞咽困难最安全、最有效的诊断和治疗方法。对吞咽困难患者的评估应基于COVID-19大流行期间的临床评估,仅对极少数患者进行器械评估。康复的主要方法必须依赖补偿方法、质地改良食物和姿势策略。应避免直接治疗方法,并鼓励家庭锻炼计划。显然,在新的世界秩序下,远程医疗/远程康复实践需要制定新的策略。

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