吞咽困难和痴呆:“双重困境”。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2023-12-01 Epub Date: 2023-08-02 DOI:10.1097/MOO.0000000000000912
Rebecca Leonard
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引用次数: 0

摘要

综述目的:痴呆症及其变体,包括阿尔茨海默病,随着年龄的增长而变得更加普遍。吞咽困难,即吞咽困难,也会随着年龄的增长而发生,通常与痴呆症有关。目前,痴呆症还没有治愈方法,未经识别或治疗的吞咽困难可能会改变生活,甚至致命。延长安全有效饮食的能力有助于提高脆弱人群的生活质量。在这篇综述中,将讨论与痴呆症患者吞咽困难管理相关的困难,以及继续研究的可能性。最近的发现:最近的报告指出了与理解吞咽困难和痴呆合并症相关的独特问题。其中包括识别受影响个体吞咽困难的延迟,以及缺乏痴呆症类型和阶段的吞咽困难患病率数据,或根据居住中心、医院等环境的患病率数据。需要强调新工具和现有工具的新应用。摘要:新的证据不仅强调了我们对痴呆症吞咽困难理解的复杂性和不足,还指出了现有的应用程序,这些应用程序有可能改善这种情况,以及新的研究方向,这些研究方向可能会详细阐述我们对这些共病的进一步理解。
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Dysphagia and dementia: a 'double dilemma'.

Purpose of review: Dementia and its variants, including Alzheimer's disease, become more prevalent with age. Dysphagia, that is, difficulty swallowing, also occurs with aging, and is often associated with dementia. Currently, there is no cure for dementia, and dysphagia, unrecognized or untreated, can have life-altering, even fatal consequences. Prolonged ability to eat safely and effectively could contribute to improved quality of life in a fragile population. In this review, difficulties associated with the management of dysphagia in individuals with dementia, as well as promising possibilities for continued investigation, will be discussed.

Recent findings: Recent reports point to unique problems related to understanding the comorbidities of dysphagia and dementia. These include delays in identifying dysphagia in affected individuals, as well as a lack of prevalence data for dysphagia in types and stages of dementia, or according to setting, for example, residential center, hospital. Emphasis on new tools, and new applications of existing tools, are needed.

Summary: New evidence not only underscores complexities and shortcomings of our understanding of dysphagia in dementia but also points to existing applications with potential for improving the situation, and new investigational directions that may elaborate our further understanding of these comorbidities.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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