重症监护病房严重急性呼吸综合征冠状病毒 2 感染患者口咽吞咽困难的患病率及评估。
Prevalence and evaluation of oropharyngeal dysphagia in patients with severe acute respiratory syndrome coronavirus 2 infection in the intensive care unit.
机构信息
Pôle 3R (Rééducation, Réadaptation Réinsertion), Rouen University Hospital, Rouen, France.
Medical Resuscitation Service, Normandy University (UNIROUEN), Rouen University Hospital, Rouen, France.
出版信息
J Laryngol Otol. 2022 Jul;136(7):649-653. doi: 10.1017/S0022215121004710. Epub 2022 Jan 10.
OBJECTIVE
The main objective was to assess the prevalence of dysphagia in the intensive care unit in patients with coronavirus disease 2019. A cohort, observational, retrospective study was conducted of patients admitted to the intensive care unit for severe acute respiratory syndrome coronavirus 2 pneumonia at the University Hospital of Rouen in France.
RESULTS
Over 4 months, 58 patients were intubated and ventilated, 43 of whom were evaluated. Screening revealed post-extubation dysphagia in 62.7 per cent of patients. In univariate analysis, a significant association was found between the presence of dysphagia and: the severity of the initial pathology, the duration of intubation, the duration of curare use, the degree of muscle weakness and the severity indicated on the initial scan. At the end of intensive care unit treatment, 22 per cent of the dysphagic patients had a normal diet, 56 per cent had an adapted diet and 22 per cent still received exclusive tube feeding.
CONCLUSION
Post-extubation dysphagia is frequent and needs to be investigated.
目的
评估 2019 年冠状病毒病患者重症监护病房吞咽困难的患病率。这是一项在法国鲁昂大学医院进行的队列、观察性、回顾性研究，纳入了因严重急性呼吸综合征冠状病毒 2 肺炎而入住重症监护病房的患者。
结果
在 4 个月的时间里，58 名患者接受了气管插管和通气，其中 43 名患者接受了评估。筛查发现，拔管后吞咽困难的患者占 62.7%。单因素分析显示，吞咽困难与以下因素存在显著相关性：初始病理严重程度、插管时间、肌松剂使用时间、肌肉无力程度和初始扫描的严重程度。在重症监护病房治疗结束时，22%的吞咽困难患者采用正常饮食，56%采用特殊饮食，22%仍接受管饲。
结论
拔管后吞咽困难很常见，需要进行调查。
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