[Evaluation of dysphagia and prevention of aspiration pneumonia].
نویسنده
چکیده
嚥下障害の臨床現場では,治療・リハビリテーション を行う根拠として,嚥下造影法(VF:videofluoroscopic swallow study),嚥下内視鏡(VE:videoendoscopic evaluation of swallowing)による機能的評価を用いるこ とが多い.さらに嚥下関連筋の効果を評価するために, 筋電図(EMG),嚥下圧測定も実用化されつつある.近 年では,延髄或いは脳神経を電気あるいは磁気刺激によ る筋電図を測定し,下位ニューロンの評価を行う誘発筋 電図も報告されている.嚥下運動の脳機能画像としては, ニューロンの電気活動そのものをみているMEGと, ニューロンの電気活動に伴う脳血流量を間接的に評価す る fMRI,PET,fNIRS に分類される.さらに,咳誘発 検査などの感覚効果器を評価するもの,嚥下障害アウト カムとしての誤嚥を評価するシンチグラフィーなども応 用されている.本稿では嚥下障害評価に使用されている 検査の概要と誤嚥性肺炎のエビデンスについて解説す る.
منابع مشابه
Tele-Dysphagia Management: An Opportunity for Prevention, Cost-Savings and Advanced Training
Many patients survive severe stroke because of aggressive management in intensive care units. However, acquiring pneumonia during the post-onset phase significantly reduces both the quality and likelihood of survival. Aspiration pneumonia (AP), a relatively recent addition to the list of the pneumonias, is associated with dysphagia, a swallowing disorder that may cause aspiration of swallowed f...
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عنوان ژورنال:
- Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics
دوره 50 4 شماره
صفحات -
تاریخ انتشار 2013