主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (3): 334-337.doi: 10.3969/j.issn.1672-1756.2020.03.005

• 特别策划·临床营养管理 • 上一篇    下一篇

基于饮食性状改变的卒中吞咽障碍患者经口进食管理的研究进展

常红 赵洁 田思颖   

  1. 首都医科大学宣武医院神经内科,100053 北京(常红,赵洁); 首都医科大学护理学院(田思颖)
  • 出版日期:2020-03-15 发布日期:2020-03-15
  • 作者简介:常红,硕士,副主任护师,副教授,护理部副主任,科护士长,E-mail:changhong19791111@126.com
  • 基金资助:
    国家重点研发计划(2018YFC2002400)

Oral intake management of post-stroke dysphagia patients with modified texture foods and thickened fluids: a systematic review

CHANG Hong, ZHAO Jie, TIAN Siying   

  1. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China
  • Online:2020-03-15 Published:2020-03-15

摘要: 吞咽障碍是卒中后严重危及生命的症状之一,其引起的吸入性肺炎、营养不良等并发症是卒中患者最常见的死亡原因之一。目前通过增稠液体和改变食物的性状来进行进食干预逐渐受到临床的认可和广泛应用。然而,这种干预的有效性会受到患者主观感受及其所致其他并发症的影响。本文就吞咽障碍患者进食能力的评估,液体及食物黏稠度、性状改变的定义、分级及其在临床实践中的应用及挑战等方面进行综述,以便为临床对卒中吞咽障碍患者的进食干预提供理论及实践依据。

关键词: 吞咽障碍;增稠剂;食物性状改变;进食管理

Abstract: Dysphagia is one of the fatal symptoms for post stroke patients. Complications such as aspiration, pneumonia and malnutrition are the most common causes of death in stroke patients. Modified texture foods and thickened fluids were widely used in post-stroke dysphagia patients to prevent the complications. However, the effectiveness of such interventions can be affected by patient compliance and other factors. This paper reviewed the assessment tools for oral intake ability in patients with dysphagia, the classification of modified texture foods and thickened fluids, their application and challenges in clinical practice. It is expected to provide useful information about clinical interventions for post-stroke dysphagia patients.

Key words: dysphagia, thickened fluids; modified texture foods; oral intake management

中图分类号: 

  • R47