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意识障碍与吞咽困难

Consciousness Disorders and Swallowing Difficulties.

作者信息

Zhang Xiru, Zhang Ru, Xiong Feng, Zhang Yaolun, Li Yali

机构信息

Department of Rehabilitation Medicine, The Affiliated Hospital of Shandong Second Medical University, No. 2428, Yuhe Road, Kuiwen District, Weifang city, 261032, Shandong province, China.

School of Rehabilitation Medicine, Shandong Second Medical University, Weifang city, Shandong province, China.

出版信息

Dysphagia. 2025 May 16. doi: 10.1007/s00455-025-10834-2.

Abstract

With the advancement of medicine, the survival rate of patients with brain injuries has significantly increased. Among these patients, some remain in a chronic state of altered consciousness and experience difficulties in swallowing. Swallowing difficulties can lead to clinical issues such as aspiration and malnutrition. Since swallowing function is closely related to the level of consciousness, effective oral swallowing is an early sign of consciousness recovery. The relationship between swallowing difficulties and the prognosis and quality of life of patients with consciousness disorders is increasingly recognized by scholars. However, patients with consciousness disorders often find it difficult to cooperate with treatments for swallowing difficulties, resulting in a lack of effective treatment options for swallowing difficulties associated with altered consciousness. This article discusses the correlation between consciousness disorders and swallowing difficulties, the physiology of swallowing, the main issues faced by patients with consciousness disorders regarding swallowing difficulties. Specifically the lack of an effective oral swallowing phase, as well as the available assessment tools and treatment methods for swallowing difficulties in these patients.

摘要

随着医学的进步,脑损伤患者的存活率显著提高。在这些患者中,一些人仍处于意识改变的慢性状态,并且存在吞咽困难。吞咽困难会导致诸如误吸和营养不良等临床问题。由于吞咽功能与意识水平密切相关,有效的口腔吞咽是意识恢复的早期迹象。吞咽困难与意识障碍患者的预后和生活质量之间的关系越来越受到学者们的认可。然而,意识障碍患者往往难以配合吞咽困难的治疗,导致缺乏针对意识改变相关吞咽困难的有效治疗方案。本文讨论了意识障碍与吞咽困难之间的相关性、吞咽的生理学、意识障碍患者在吞咽困难方面面临的主要问题。具体而言,缺乏有效的口腔吞咽阶段,以及这些患者吞咽困难的可用评估工具和治疗方法。

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