NUTRI公司Softia S产品对吞咽困难患者的疗效观察

N. I. Pryanikova, Anna A. Bykadorova, O. Polikarpova, I. Shchelkunova, M. Petrova
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Materials and methods: Complex assessment of dysphagia included speech therapy, video fluoroscopy and video laryngoscopy with assessment of swallowing function Rosenbek (PAS) and FEDSS scales. Patients were divided into 2 groups (experiment and control). The study lasted 14 days. Examination by a speech therapist and a nutritionist was carried out daily. On the 1st and 14th days, laboratory parameters were monitored, and the patients body weight was determined. Results: The study included 30 patients with mild dysphagia. By the end of the study, 8 people in the experimental group showed a restoration of the swallowing function, residual effects in the form of choking persisted in 7 people. In the control group, a slight improvement was observed in 2 patients, 13 had no changes. 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引用次数: 0

摘要

背景:各种原因的吞咽困难是普遍存在的。出现严重并发症的风险很高:营养不良、脱水、体重减轻、气道阻塞、吸入性肺炎。Softia S产品用于解决吞咽液体的问题。日本农林水产省在2016年5月日本首相安倍向俄罗斯联邦总统普京提交的8点合作计划框架内资助了这项研究。目的:评价NUTRIs Softia S产品对各种来源的吞咽困难患者的疗效和安全性。材料和方法:吞咽困难的复杂评估包括语言治疗、视频透视检查和视频喉镜检查,并评估吞咽功能Rosenbek (PAS)和FEDSS量表。患者分为两组(实验组和对照组)。研究持续14天。每天由语言治疗师和营养师进行检查。在第1天和第14天监测实验室参数,并测定患者体重。结果:本研究纳入30例轻度吞咽困难患者。研究结束时,实验组中有8人恢复了吞咽功能,7人的残余影响以窒息的形式持续存在。对照组2例稍有改善,13例无变化。实验组的“进食时间”指标变化最为显著(“早餐”,平均3.7分钟,p=0.0033;“午餐”,平均6.9分钟,p 0.0001);“水合作用后窒息的次数”(“早餐”平均7.0,p 0.0001;“午餐”平均增加8.1分,p 0.0001;“晚餐”平均6.8分,p 0.0001);“水合作用时窒息的次数”(《早餐》平均8.8次,p 0.0001;“午餐”平均下降12.1,p 0.0001;“晚餐”的平均收视率为8.7,p 0.0001)。有痰的发声障碍病例数仅实验组明显减少。结论:Softia S可减少吞咽困难患者水合后、进食时呛噎量及进食时间,可用于有痰的吞咽困难患者的综合治疗。
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Efficacy of NUTRI’s Softia S Product in Patients with Dysphagia
Background: Dysphagia of various origins is widespread. There is a high risk of developing formidable complications: malnutrition, dehydration, weight loss, airway obstruction, aspiration pneumonia. The product Softia S is used to solve the problems of swallowing liquids. The Ministry of Agriculture, Forestry and Fisheries of Japan financed this study within the framework of the 8-Point Cooperation Plan presented by the Prime Minister of Japan S. Abe to the President of the Russian Federation V. V. Putin in May 2016. Aims: Assessment of the efficacy and safety of NUTRIs Softia S product for patients with dysphagia of various origins. Materials and methods: Complex assessment of dysphagia included speech therapy, video fluoroscopy and video laryngoscopy with assessment of swallowing function Rosenbek (PAS) and FEDSS scales. Patients were divided into 2 groups (experiment and control). The study lasted 14 days. Examination by a speech therapist and a nutritionist was carried out daily. On the 1st and 14th days, laboratory parameters were monitored, and the patients body weight was determined. Results: The study included 30 patients with mild dysphagia. By the end of the study, 8 people in the experimental group showed a restoration of the swallowing function, residual effects in the form of choking persisted in 7 people. In the control group, a slight improvement was observed in 2 patients, 13 had no changes. The most significant changes were found in the experimental group for the indicators "Time of eating" ("Breakfast", on average, 3.7 minutes, p=0.0033; "Lunch", on average, 6.9 minutes, p 0.0001); "The number of chokes after hydration" ("Breakfast" by an average of 7.0, p 0.0001; "Lunch" by an average of 8.1, p 0.0001; "Dinner" by an average of 6.8, p 0.0001); "The number of chokes during hydration" ("Breakfast" by an average of 8.8, p 0.0001; "Lunch" by an average of 12.1, p 0.0001; "Dinner" by an average of 8.7, p 0.0001). The number of dysphonia cases with sputum significantly decreased only in the experimental group. Conclusions: Softia S can be used in complex therapy for dysphagia by reducing the amount of choking after and during hydration and time of eating and dysphonia cases with sputum.
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