Diagnosis and evaluation of 100 dysphagia patients using videoendoscopy at a core hospital of a local city in Japan
Diagnosis and evaluation of 100 dysphagia patients using videoendoscopy at a core hospital of a local city in Japan
复制标题
日本当地城市核心医院100例吞咽困难患者视频内镜诊断与评估
DOI：
--
复制
发表时间：
2016
期刊：
影响因子：
--
通讯作者：
H. Tanno
中科院分区：
文献类型：
--
作者：
Kazumichi Yonenaga;H. Majima;Shigeto Oyama;K. Ishibashi;H. Tanno
日本已进入人口超老龄化时代，考虑到口腔营养的重要性，评估吞咽功能的需求增加了。在此，我们通过描述当前视频内窥镜（VE）的使用和趋势来评估和诊断吞咽困难的原因，为评估进食和吞咽功能的持续发展做出贡献。总共纳入100例疑似吞咽困难患者（男性58例，女性42例，平均年龄79岁）；其中15个是重新检查。根据日本吞咽困难康复学会吞咽检查指南进行检查。在本研究中，有几例（77.8%）患者出现发声不良和唾液淤积，无法进食。在评估误吸与咽或喉内流之间的关系时，我们发现当咽和喉内流存在时，误吸的风险很高。一些患者（38.9%）能够进食，尽管没有咳嗽反射；因此，没有咳嗽反射并不一定等同于不能进食，即使患者不能口服营养。1例患者即使无咳嗽反射也能摄入营养。检查后的6个月生存率为57.1%，特别是那些不能口服营养的患者。这些结果表明，进食和吞咽功能的下降预示着患者生活质量的不良预后，因为进食和吞咽需要在口腔期顺利通过。因此，积极要求牙科干预和口腔康复是重要的病人提出这些问题。
Japan has entered an era of a super-aging population, and given the importance of oral nutrition, the need to evaluate swallowing function has increased. Herein, we contribute to continued developments in evaluating eating and swallowing functions by describing current videoendoscopy (VE) usage and trends to evaluate and diagnose causes of dysphagia. In all, 100 patients (58 men and 42 women; mean age: 79 years) with suspected dysphagia were enrolled; 15 of these were re-examinations. Examinations were conducted according to the Japanese Society of Dysphagia Rehabilitation VE examination guidelines for swallowing. In this study, several patients (77.8 %) with poor vocalization and a saliva reservoir were unable to eat. While evaluating the relationship between aspiration and pharyngeal or laryngeal influx, we found that when pharyngeal and laryngeal influx were present, the risk of aspiration was high. Some patients (38.9 %) were able to eat despite lacking a cough reflex; thus, the absence of a cough reflex does not necessarily equate to an inability to eat, even in patients unable to ingest nutrition orally. One case could ingest nutrition, even with no cough reflex. The 6-month survival rate after the examination of patients on nil per os status was 57.1 %, specifically in patients unable to ingest nutrition orally. These results suggest that decreased eating and swallowing functions indicate a poor prognosis for the patient’s quality of life, as eating and swallowing require smooth passage in the oral phase. Therefore, actively requesting a dental intervention and oral rehabilitation is important for a patient presenting these issues.
动脉瘤性蛛网膜下腔出血早期停止抗惊厥药物后的结果。
DOI：
10.4172/2329-6925.1000173
发表时间：
2015
期刊：
Journal of vascular medicine & surgery
影响因子：
--
作者：
Chou,SherryHsiang-Yi;Latorre,JuliusGeneSilva;Alpargu,Gulhan;Ogilvy,ChristopherS;Sorond,FarzanehA;Rordorf,Guy
通讯作者：
Rordorf,Guy
影响因子：
29.4
作者：
ROBBINS, J;HAMILTON, JW;KEMPSTER, GB
通讯作者：
KEMPSTER, GB