急性外伤性颈脊髓损伤患者呼吸功能障碍与吞咽困难的关系。

IF 1.2 Q3 SURGERY
Yuki Matsumoto, Tetsuo Hayashi, Yuichi Fujiwara, Kensuke Kubota, Muneaki Masuda, Osamu Kawano, Takeshi Maeda
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引用次数: 1

摘要

吸入性肺炎是急性外伤性颈脊髓损伤(CSCI)患者中最常见和致命的危及生命的并发症之一。然而,CSCI患者的吞咽困难机制尚不清楚。CSCI的发病率和死亡率可能与呼吸功能障碍和吞咽困难的相互作用有关。本研究旨在探讨呼吸功能障碍对急性创伤性CSCI患者吞咽功能的影响。方法:对54例外伤后2周内入院的急性外伤性CSCI患者进行前瞻性队列研究。使用吞咽困难严重程度量表(DSS)和功能性口服摄入量表(FOIS)评估吞咽困难。通过测定咳嗽峰值流量(CPF)、1s用力呼气量(FEV1.0)、FEV1.0/用力肺活量(FEV1.0%)、肺活量百分比(%VC)评价呼吸功能。我们在受伤后的第2、4、8和12周记录了这些参数,并分析了随时间的相关变化和显著相关性。结果:在本研究招募的54名患者(46名男性和8名女性)中,48名(88.9%)出现限制性呼吸功能障碍,17名(31.5%)在损伤后2周出现严重吞咽困难(DSS等级1-4)。但术后呼吸功能和吞咽功能明显改善。CPF、FEV1.0、%VC与各时期吞咽困难严重程度显著相关。结论:限制性呼吸功能障碍、咳嗽力差与吞咽困难密切相关,呼吸功能评价在吞咽困难评价中起重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Correlation between Respiratory Dysfunction and Dysphagia in Individuals with Acute Traumatic Cervical Spinal Cord Injury.

Correlation between Respiratory Dysfunction and Dysphagia in Individuals with Acute Traumatic Cervical Spinal Cord Injury.

Correlation between Respiratory Dysfunction and Dysphagia in Individuals with Acute Traumatic Cervical Spinal Cord Injury.

Correlation between Respiratory Dysfunction and Dysphagia in Individuals with Acute Traumatic Cervical Spinal Cord Injury.

Introduction: Aspiration pneumonia is one of the most frequent and fatal life-threatening complications among individuals with acute traumatic cervical spinal cord injury (CSCI). However, the mechanism of dysphagia among individuals with CSCI is not well understood. Morbidity and mortality associated with CSCI may result from the interplay between respiratory dysfunction and dysphagia. This study aimed to elucidate the effect of respiratory dysfunction on the swallowing function of individuals with acute traumatic CSCI.

Methods: A prospective cohort study was conducted involving 54 individuals with acute traumatic CSCI who were admitted within 2 weeks following injury. Dysphagia was evaluated using the Dysphagia Severity Scale (DSS) and the Functional Oral Intake Scale (FOIS). Respiratory function was evaluated by measuring the cough peak flow (CPF), forced expiratory volume in 1 s (FEV1.0), FEV1.0/forced vital capacity (FEV1.0%), and percent vital capacity (%VC). We recorded these parameters at weeks 2, 4, 8, and 12 following injury and analyzed pertinent changes over time and significant correlations.

Results: Among 54 individuals (46 men and 8 women) recruited in this study, 48 (88.9%) had restrictive ventilatory impairment and 17 (31.5%) had severe dysphagia (DSS level 1-4) 2 weeks following injury. However, respiratory function and swallowing function significantly improved thereafter. CPF, FEV1.0, and %VC were significantly correlated with the severity of dysphagia during each period.

Conclusions: Restrictive ventilatory impairment, poor cough force, and dysphagia are closely related, and the evaluation of respiratory function plays an important role in evaluating dysphagia.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
71
审稿时长
15 weeks
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