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吞咽困难的管理和康复概述。

An Overview Of The Management And Rehabilitation Of Dysphagia.

机构信息

Department of Physical Medicine and Rehabilitation, Graduate School of Biomedical Engineering, Tohoku University, Sendai Japan.

Department of Rehabilitation Medicine, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, Pakistan.

出版信息

J Pak Med Assoc. 2023 Aug;73(8):1749-1752. doi: 10.47391/JPMA.23-61.

Abstract

Dysphagia is a medical condition that makes it difficult for a person to eat or swallow. It is estimated that 590 million people worldwide have dysphagia. The causes are varied and include neurological disorders like stroke and motor neuron disease, head and neck cancer, neuromuscular diseases, inflammatory diseases such as dermatomyositis, dementia, cervical spinal cord injury, and anterior vertebral ossification. The assessment and screening of dysphagia consists of a questionnaire-based interview, mealtime observation, and, if deemed necessary by a screening test or instrumental examination by specialists. Treatment is based on the diagnosis, patients' cognition and information gathered by screening and clinical evaluation. Patient's function can be improved only when treatment is comprehensive and includes compensatory feeding using an adjusted swallowing diet, compensatory posture adjustment, and nutritional improvement. We present a brief overview of the assessment and management strategies for dysphagia.

摘要

吞咽困难是一种使患者难以进食或吞咽的医学状况。据估计,全球有 5.9 亿人患有吞咽困难。其病因多种多样,包括中风和运动神经元病等神经障碍、头颈部癌症、神经肌肉疾病、皮肌炎等炎症性疾病、痴呆、颈椎脊髓损伤和前椎体骨化。吞咽困难的评估和筛查包括基于问卷的访谈、用餐时观察,如果筛查测试或专家的仪器检查认为有必要,还可以进行。治疗基于诊断、患者的认知以及通过筛查和临床评估收集的信息。只有当治疗全面且包括使用调整后的吞咽饮食进行补偿性喂养、补偿性姿势调整和营养改善时,患者的功能才能得到改善。我们简要介绍了吞咽困难的评估和管理策略。

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