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老年人吞咽困难的危险因素及筛查评估研究进展

Research progress in the risk factors and screening assessment of dysphagia in the elderly.

作者信息

Chen Kerong, Xing Liwei, Xu Bonan, Li Yi, Liu Tianyun, Zhang Tingjuan, Shi Hongping, Lu Hanmei, Zhou Wengang, Hou Jianhong, Shi Hongling, Qin Dongdong

机构信息

Department of Rehabilitation Medicine, The Third People's Hospital of Yunnan Province, Kunming, China.

The First School of Clinical Medicine, Yunnan University of Chinese Medicine, Kunming, China.

出版信息

Front Med (Lausanne). 2022 Nov 7;9:1021763. doi: 10.3389/fmed.2022.1021763. eCollection 2022.

Abstract

With the aging of the population, the incidence of dysphagia has gradually increased and become a major clinical and public health issue. Early screening of dysphagia in high-risk populations is crucial to identify the risk factors of dysphagia and carry out effective interventions and health management in advance. In this study, the current epidemiology, hazards, risk factors, preventive, and therapeutic measures of dysphagia were comprehensively reviewed, and a literature review of screening instruments commonly used globally was conducted, focusing on their intended populations, main indicators, descriptions, and characteristics. According to analysis and research in the current study, previous studies of dysphagia were predominantly conducted in inpatients, and there are few investigations and screenings on the incidence and influencing factors of dysphagia in the community-dwelling elderly and of dysphagia developing in the natural aging process. Moreover, there are no unified, simple, economical, practical, safe, and easy-to-administer screening tools and evaluation standards for dysphagia in the elderly. It is imperative to focus on dysphagia in the community-dwelling elderly, develop unified screening and assessment tools, and establish an early warning model of risks and a dietary structure model for dysphagia in the community-dwelling elderly.

摘要

随着人口老龄化,吞咽困难的发病率逐渐上升,已成为一个主要的临床和公共卫生问题。对高危人群进行吞咽困难的早期筛查,对于识别吞咽困难的危险因素并提前进行有效干预和健康管理至关重要。本研究全面综述了吞咽困难的当前流行病学、危害、危险因素、预防和治疗措施,并对全球常用的筛查工具进行了文献综述,重点关注其目标人群、主要指标、描述和特点。根据本研究的分析和研究,以往关于吞咽困难的研究主要在住院患者中进行,对社区老年人吞咽困难的发病率及影响因素以及自然衰老过程中发生的吞咽困难的调查和筛查较少。此外,对于老年人吞咽困难,尚无统一、简单、经济、实用、安全且易于实施的筛查工具和评估标准。关注社区老年人的吞咽困难,开发统一的筛查和评估工具,建立社区老年人吞咽困难风险预警模型和饮食结构模型势在必行。

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