吞咽障碍所致吸入性肺炎的诊治对策

被引:11
作者
黎毅敏
机构
[1] 广州医学院第一附属医院广州呼吸疾病研究所
关键词
D O I
暂无
中图分类号
R563.1 [肺炎];
学科分类号
1002 ; 100201 ;
摘要
<正>近年来吸入性肺炎(aspiration pneumonia,AP)患者呈逐年增多趋势,已成为成年个体获得性肺炎的主要形式之一。据统计在美国AP患者占养老院患者总数的30%,占社区获得性肺炎患者总数的5%~15%,病死患者比例更高达老年肺炎死亡总量的1/3。临床上由吞咽障碍导致AP最为常见,有资料统计显示,近一半在护理院生活的吞咽障碍患者可发生误吸,其中1/3最终发展为肺炎。对于阿尔茨海默病患者和年龄大于80岁吞咽障碍患者,误吸是导致其肺炎的最主要因
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共 7 条
[1]   综合性吞咽训练对急性脑卒中患者吞咽功能的重建及对吸入性肺炎的影响 [J].
李华 ;
王玉龙 ;
邹碧花 ;
龙建军 .
深圳中西医结合杂志, 2008, (04) :236-239
[2]  
The Association Between Oral Microorgansims and Aspiration Pneumonia in the Institutionalized Elderly: Review and Recommendations[J] . Cherin C. Pace,Gary H. McCullough.Dysphagia . 2010 (4)
[3]  
Tazobactam/piperacillin for moderate-to-severe pneumonia in patients with risk for aspiration: Comparison with imipenem/cilastatin[J] . Isao Ito,Seizo Kadowaki,Naoya Tanabe,Akane Haruna,Masahito Kase,Yoshiro Yasutomo,Mitsuhiro Tsukino,Asako Nakai,Hisako Matsumoto,Akio Niimi,Kazuo Chin,Satoshi Ichiyama,Michiaki Mishima.Pulmonary Pharmacology & Therapeutics . 2010 (5)
[4]   Early Deficits in Cortical Control of Swallowing in Alzheimer's Disease [J].
Humbert, Ianessa A. ;
McLaren, Donald G. ;
Kosmatka, Kris ;
Fitzgerald, Michele ;
Johnson, Sterling ;
Porcaro, Eva ;
Kays, Stephanie ;
Umoh, Eno-Obong ;
Robbins, JoAnne .
JOURNAL OF ALZHEIMERS DISEASE, 2010, 19 (04) :1185-1197
[5]  
Simple Swallowing Provocation Test Has Limited Applicability as a Screening Tool for Detecting Aspiration, Silent Aspiration, or Penetration[J] . Hitoshi Kagaya,Sumiko Okada,Eiichi Saitoh,Mikoto Baba,Michio Yokoyama,Hitomi Takahashi.Dysphagia . 2010 (1)
[6]   Effects of neuromuscular electrical stimulation on submental muscle activity [J].
Suiter, DM ;
Leder, SB ;
Ruark, JL .
DYSPHAGIA, 2006, 21 (01) :56-60
[7]  
Dysphagia assessment and treatment planning: Ateam approach. Leonard R,Kendall K. Plural Publishing . 2008