[吞咽困难患者水合的重要性及其后果]。

IF 2.5 4区 医学 Q3 BUSINESS
María Del Carmen Lozano-Estevan, Laura M Bermejo, Adrián Cervera-Muñoz, Rosa M Martínez-García, Esther Cuadrado-Soto
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引用次数: 0

摘要

导言导言:吞咽困难是指食物或饮料从口腔进入胃部的困难,可能包括转运延迟、无法转运或转运方向错误,进而进入呼吸道。吞咽困难会增加患者营养不良和脱水的风险。然而,虽然脱水是吞咽困难最常见的并发症之一,并与住院和死亡等重大风险相关,但对其关系和相关风险因素的研究却很少。方法:对有关吞咽困难患者水合以及水合不足对其危害的科学文献进行了综述。结果与讨论:吞咽困难患者的饮食和营养方法需要多学科和个性化的方法,对于提高吞咽困难患者的生活质量至关重要。脱水是吞咽困难患者经常出现的严重并发症,可导致尿路感染、便秘、意识模糊和慢性疾病恶化等问题。因此,仔细评估和监测这些患者的液体摄入量至关重要,改善水合的策略包括使用增稠液体、刺激食欲以及调整食物的质地和摆放方式。结论:从饮食和营养的角度来看,适当和规范化的管理可对患者的生活质量产生重大影响,改善他们的健康状况并预防与这种疾病相关的并发症。吞咽困难的综合治疗方法包括适当的评估和水合管理,这对预防严重并发症至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Importance of hydration in people with dysphagia and its consequences].

Introduction: Introduction: dysphagia is a difficulty in moving food or drink from the mouth to the stomach, which may consist of a delay or an impossibility of transit or an-error in the direction, with the consequent passage into the airways. Dysphagia increases the risk of malnutrition and dehydration in the patient. However, although dehydration is one of the most common complications of dysphagia and is associated with significant risks, including hospitalization and mortality, it has been little studied in terms of its relationship and associated risk factors. Methods: a review of the scientific literature on the hydration of people with dysphagia and the dangers of inadequate hydration in them was carried out. Results and discussion: the dietary and nutritional approach in patients with dysphagia requires a multidisciplinary and personalized approach and is essential to improve the quality of life of patients with dysphagia. Dehydration is a frequent and serious complication in patients with dysphagia, which can lead to problems such as urinary tract infections, constipation, confusion, and worsening of chronic diseases. Therefore, it is crucial to carefully evaluate and monitor the fluid intake in these patients, and strategies to improve hydration include the use of thickened liquids, stimulating appetite, and adapting the texture and presentation of foods. Conclusión: adequate and protocolized management, from a dietary and nutritional point of view, can have a significant impact on the quality of life of patients, improving their well-being and preventing complications associated with this condition. A comprehensive approach to dysphagia, which includes adequate assessment and management of hydration, is essential to prevent serious complications.

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来源期刊
Nutricion hospitalaria
Nutricion hospitalaria 医学-营养学
CiteScore
1.90
自引率
8.30%
发文量
181
审稿时长
3-6 weeks
期刊介绍: The journal Nutrición Hospitalaria was born following the SENPE Bulletin (1981-1983) and the SENPE journal (1984-1985). It is the official organ of expression of the Spanish Society of Clinical Nutrition and Metabolism. Throughout its 36 years of existence has been adapting to the rhythms and demands set by the scientific community and the trends of the editorial processes, being its most recent milestone the achievement of Impact Factor (JCR) in 2009. Its content covers the fields of the sciences of nutrition, with special emphasis on nutritional support.
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