Atchison J W, Bryan D, Lumm S, Morgan M, Nickerson N, Niehaus A, Stratton T, Salcido R
Cardinal Hill Rehabilitation Hospital, Lexington, KY 40504, USA.
J Ky Med Assoc. 1995 May;93(5):203-10.
Dysphagia, a disorder of swallowing, is commonly associated with neurological and neuromuscular disorders. Damage to the sensation or muscles of the swallowing mechanism leads to unsafe oral motor or pharyngeal movement patterns, placing a patient at risk for development of aspiration pneumonia. At present, multidisciplinary Dysphagia Teams are being used to improve the diagnosis and treatment of swallowing disorders. A survey including all 112 hospitals in the Commonwealth of Kentucky indicates 33 (29%) presently have such a team, while 42 (38%) offer outpatient dysphagia services. In addition, 56 (50%) of the hospitals indicate they perform modified barium swallows which is an essential test for diagnosing and treating dysphagia. An example of how a Dysphagia Team works in one Kentucky rehabilitation hospital is presented to illustrate how to provide early diagnosis and treatment of these problems.
吞咽困难是一种吞咽障碍，通常与神经和神经肌肉疾病有关。吞咽机制的感觉或肌肉受损会导致不安全的口腔运动或咽部运动模式，使患者有发生吸入性肺炎的风险。目前，多学科吞咽障碍治疗团队正被用于改善吞咽障碍的诊断和治疗。一项涵盖肯塔基州联邦所有112家医院的调查显示，目前有33家（29%）医院设有这样的团队，而42家（38%）医院提供门诊吞咽障碍服务。此外，56家（50%）医院表示他们会进行改良钡餐吞咽检查，这是诊断和治疗吞咽困难的一项重要检查。本文介绍了肯塔基州一家康复医院的吞咽障碍治疗团队的工作方式，以说明如何对这些问题进行早期诊断和治疗。
