“改变生活的气泡”-碳酸水如何缓解世界各地许多吞咽困难患者的吞咽问题

Mirams John
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摘要

如今,据说全世界各年龄段的人约有5.9亿人患有各种各样的吞咽问题,其中英国约有400万人。他们要么住在家里,要么住在大约2万所护理院,每天可能还有2.5万名病人住在医院。刘易舍姆和格林威治NHS信托基金的大卫·史密斯教授多年来一直在领导一项全国性的运动,以提高人们对吞咽困难的普遍认识,并改善对不同情况患者的治疗。他和他在伊丽莎白女王医院的团队现在已经完成了一项关于使用碳酸水(CW)治疗吞咽困难的详细审查,该审查刚刚发表,可以在这里访问:https://www.mdpi.com/2308-3417/8/1/6该综述的结论是,在将连续水作为临床实践的标准之前,有必要进行进一步的基于证据的研究——尽管证据量很少,但有证据表明,吞咽更安全,分泌物管理得到改善,因此,在进行进一步的研究之前,碳酸水应仅限于患者个人使用。作为一名吞咽困难患者,我的经验是使用连续疗法带来了改变生活的好处,本文致力于描述连续疗法如何对我起作用,以及实际要求是什么,以便许多其他人能够像我一样受益。本文分为三个部分:我的个人经历、现实思考和结论。
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‘Life-Changing Bubbles’ – How carbonated water can relieve swallowing problems for many dysphagia sufferers worldwide
Today, there are said to be some 590 million people of all ages around the world, who are suffering from a range of swallowing problems – probably about 4 million in the UK. Either living at home or as residents in some 20,000 Care Homes, with perhaps another 25,000 as patients in hospitals every day. Professor David Smithard, of the Lewisham and Greenwich NHS Trust, has been leading a national campaign for some years to raise general awareness of Dysphagia and to improve the treatment of patients with varying conditions. He and his team at the Queen Elizabeth Hospital have now completed a detailed Review of the use of carbonated water (CW) in the treatment of Dysphagia, which has just been published and can be accessed here: https://www.mdpi.com/2308-3417/8/1/6 The Review concludes that further evidence-based research is essential before CW can be adopted as standard in clinical practice – but that although the amount of evidence is small, there is a suggestion that swallows are safer and that secretion management improves, and consequently until further studies are undertaken, Carbonated Water should be limited to individual patient use. My experience as a Dysphagia sufferer is that the use of CW has resulted in life-changing benefits, and this paper is devoted to describing how CW worked for me, and what the practical requirements are, so that many others may be able to benefit as I have done. The paper has three sections: My Personal Experience, Practical Considerations, and Conclusions.
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