The study whether conducting rehabilitation could prevent patients with gastric fistula from suffering from pneumonia

进行康复治疗能否预防胃瘘患者患肺炎的研究

• 批准号: 24792354
• 负责人: WAKASUGI Yoko
• 金额: $ 1.75万
• 依托单位: Tokyo Medical and Dental University (2013)Osaka University (2012)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2012
• 资助国家: 日本
• 起止时间: 2012-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-24792354/
• 关键词: 摂食嚥下障害; 胃瘻; リハビリテーション; 肺炎予防; 摂食・嚥下障害; 肺炎

Gastric fistula (GF) is the effective measure, but improperly-used. So, there were fasted patients despite the ability to eat and repeated pneumonia after fasting. We studied the swallowing function and intervention effect among fasted patients with GF. The 16 bedridden patients were conducted videoendoscopy, and divided into two groups; one was able to eat jelly without aspiration, and the other was not. The former ate jelly with assistance every day for 3 weeks and the latter was conducted oral care. The gastric empty and the frequency of swallowing at rest were compared. The resulte was 8 patients on each group. Age and the duration of fasting were not significant difference. All patients remained not causing pneumonia, and the frequency of swallowing of the former group was significantly improved. We concluded that the importance of appropriate exam before gastrosomy, and the possibility of sustained rehabilitation with food preventing from pneumonia by improving saliva swallow.

胃瘘是有效的治疗措施，但应用不当。因此，尽管有能力进食，但仍有禁食患者，禁食后反复出现肺炎。我们研究了空腹的GF患者的吞咽功能和干预效果。对16例卧床不起的患者进行了电视内窥镜检查，并将其分为两组;一组能够不抽吸地吃果冻，另一组不能。两组患者均给予口腔护理。比较两组安静时胃排空情况和吞咽次数。两组各8例。年龄、禁食时间差异无统计学意义。所有患者均未引起肺炎，前一组吞咽频率明显改善。结论：胃切除术前适当检查的重要性，以及通过改善唾液吞咽来预防肺炎的持续食物康复的可能性。

项目成果

医療・介護関連肺炎(NHCAP)の現状と展望 歯科医の立場から

从牙医的角度看医疗/护理相关肺炎（NHCAP）的现状和展望

• 发表时间: 2014
• 期刊: 日本呼吸ケア・リハビリテーション学会雑誌
• 作者: 若杉葉子;戸原玄;野原幹司;石川朗
• 通讯作者: 石川朗

CRP を用いた摂食・嚥下障害患者の発熱予測 - 誤嚥の有無と経過の乖離 -

使用 CRP 预测进食/吞咽障碍患者的发烧情况 - 误吸的存在与否及其病程之间的差异 -

• 发表时间: 2012
• 作者: 若杉葉子;野原幹司;松野頌平;阪井丘芳
• 通讯作者: 阪井丘芳

CRPを用いた摂食・嚥下障害患者の発熱予測－誤嚥の有無と経過の乖離－

使用 CRP 预测进食/吞咽障碍患者的发烧 - 误吸的存在或不存在与其病程之间的差异 -

• 作者: 若杉葉子;野原幹司;松野頌平;阪井丘芳
• 通讯作者: 阪井丘芳

Effect of oral stage impairment on swallowing among patients with Parkinson’s disease

口腔阶段障碍对帕金森病患者吞咽的影响

• 发表时间: 2016
• 作者: Yoko Wakasugi;Toshiyuki Yamamoto;Chihiro Oda;Keigo Nakayama;Masako Sato;Miho Murata
• 通讯作者: Miho Murata

胃瘻患者に対する直接訓練が嚥下頻度、胃排出能に及ぼす影響について

直接训练对胃造口患者吞咽频率及胃排空能力的影响

• 作者: 若杉葉子;野原幹司;松野頌平;阪井丘芳;大迫文重，山本俊郎，赤松佑紀，西垣 勝，雨宮 傑，坂下敦宏，中村 亨，喜多正和，金村成智;辻聡，野原幹司，若杉葉子，上田章人，田中信和，小谷泰子，阪井丘芳
• 通讯作者: 辻聡，野原幹司，若杉葉子，上田章人，田中信和，小谷泰子，阪井丘芳