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吞咽困难患者:如何通过非管饲方式提供营养。

Patients with dysphagia: How to supply nutrition through non-tube feeding.

作者信息

Shen Zhean, Hou Yingze, Huerman Ayideng, Ma Aiqin

机构信息

College of Food Science and Engineering, Xinjiang Institute of Technology, Aksu, China.

Nutritional Department, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, China.

出版信息

Front Nutr. 2022 Dec 2;9:1060630. doi: 10.3389/fnut.2022.1060630. eCollection 2022.

Abstract

OBJECTIVE

Dysphagia has become one of the important factors that cause malnutrition in the whole age group. At present, tube feeding is still the mainstream means to solve the problem of dysphagia. However, tube feeding has physical and mental harm to people, and the ways of non-tube feeding are relatively diversified. The significance of the thickening mechanism described in some articles to solve the problem of dysphagia is not clear.

SETTING AND PARTICIPANTS

All patients with dysphagia worldwide, including oropharyngeal dysphagia (OD) and non-oropharyngeal dysphagia.

METHODS

We searched the literature in Pubmed, Web of Science and Cochrane Library and initially browsed the titles and abstracts. We reviewed the full text of the articles that met our topic, and the language of the article was limited to English.

RESULTS

We found that food thickening to a certain degree (350-1,750 cP) can reduce the complications of choking, aspiration, reflux, and other complications in patients with dysphagia, and reduce the social disorder, anxiety, and other psychological problems caused by catheterization and surgery. Significantly, food science engineers should invite clinicians to intervene in the development of specialty foods from different perspectives such as clinical pathophysiology and fluid mechanics.

CONCLUSION AND IMPLICATIONS

It is necessary to develop special foods for patients with dysphagia, which requires scientists from different disciplines to work together.

摘要

目的

吞咽困难已成为导致全年龄段营养不良的重要因素之一。目前,管饲仍是解决吞咽困难问题的主流手段。然而,管饲对人体有身心伤害,而非管饲方式相对多样。一些文章中描述的增稠机制对解决吞咽困难问题的意义尚不清楚。

设置与参与者

全球所有吞咽困难患者,包括口咽性吞咽困难(OD)和非口咽性吞咽困难患者。

方法

我们在PubMed、科学网和考克兰图书馆检索文献并初步浏览标题和摘要。我们对符合主题的文章进行全文回顾,文章语言限于英语。

结果

我们发现食物增稠到一定程度(350 - 1750厘泊)可减少吞咽困难患者呛噎、误吸、反流等并发症,以及减少因插管和手术引起的社交障碍、焦虑等心理问题。值得注意的是,食品科学工程师应邀请临床医生从临床病理生理学和流体力学等不同角度介入特殊食品的开发。

结论与启示

有必要为吞咽困难患者开发特殊食品,这需要不同学科的科学家共同努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2bca/9757495/a2423bb1522d/fnut-09-1060630-g0001.jpg

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