Нарушения глотания после инсульта
Нарушения глотания после инсульта
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Нарушения глотания после инсульта
DOI：
10.14412/2074-2711-2015-4-50-56
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
O. Lagoda
中科院分区：
文献类型：
--
作者：
M. Tanashyan;E. Berdnikovich;O. Lagoda
卒中后吞咽困难的发生率占20%至，这使得吞咽障碍成为急性脑血管意外最常见的后遗症之一。吞咽困难可能会引起危及生命的并发症，如吸入性肺炎、恶病质和脱水。本文给出了吞咽功能的临床和仪器评估以及误吸诊断的国际算法。它阐述了处理吞咽困难患者的基本原则，以及对这些患者的饮食建议。作者展示了速溶口服药物在治疗中风后吞咽困难患者中的优势。分析了目前卒中后吞咽困难的药物治疗和非药物治疗经验。
The incidence of dysphagia after stroke accounts for 20 to 64%, which makes swallowing disorder one of the most common sequels of acute cerebrovascular accident. Dysphagia may cause life-threatening complications, such as aspiration pneumonia, cachexia, and dehydration. The paper gives international algorithms for the clinical and instrumental evaluation of swallowing function and the diagnosis of aspiration. It sets forth basic principles for managing patients with dysphagia, as well as dietary recommendations for these patients. The authors show the advantages of fast-dissolving oral medicines used in the therapy of patients with dysphagia after stroke. The currently available experience of drug and non-drug treatments for dysphagia in patients after stroke is analyzed.