呼吸-吞咽协调性康复研究进展
Progress in rehabilitation research on respiratory-swallow coordination
张晨 1冯加彬 1郑金玲 1姜永梅1
作者信息
- 1. 大连医科大学附属第二医院 康复医学科,辽宁 大连 116027
- 折叠
摘要
呼吸和吞咽间存在紧密的协调关系,吞咽康复可以保证患者安全、足量进食,减少误吸、肺内感染等呼吸系统并发症.呼吸康复可恢复正常呼吸模式,增强呼吸肌肌力,改善肺通气及咳嗽效力,为吞咽康复提供有力支持.在过去的康复技术中,呼吸与吞咽康复缺乏协作,为了进一步实现早拔管、早进食、提高气道安全性,降低误吸及吸入性肺炎的发生,可通过有效的呼吸-吞咽整合技术,使两种治疗互相配合,重新建立咳嗽有效性和呼吸-吞咽协调性.呼吸-吞咽协调性已成为当前康复领域关注的热点.本文就呼吸-吞咽协调性的生理机制、神经调控机制、测量方法以及可改善协调性的康复治疗进行综述.
Abstract
There is a close coordination relationship between breathing and swallowing.Swallowing rehabilitation can ensure safe and adequate intake of food,reduce respiratory complications such as aspiration and intrapulmonary infection.Respiratory rehabilitation can restore normal breathing patterns,enhance respiratory muscle strength,improve pulmonary ventilation and cough efficacy,and thus provide strong support for swallowing rehabilitation.In the past rehabilitation techniques,there has been a lack of coordination between respiratory rehabilitation and swallowing rehabilitation.In order to further achieve early extubation,early feeding,improve airway safety,reduce the occurrence of aspiration and aspiration pneumonia,effective respiratory-swallowing integration techniques can be used to re-establish cough efficacy and respiratory-swallowing coordination.Respiratory-swallowing coordination has become a hot topic in the field of rehabilitation.This article reviews the physiological mechanism,neural regulatory mechanism,measurement methods,and rehabilitation treatments that can improve respiratory-swallow coordination.
关键词
呼吸-吞咽协调性/吞咽康复/呼吸康复/康复Key words
respiratory-swallow coordination/swallowing rehabilitation/respiratory rehabilitation/rehabilitation引用本文复制引用
基金项目
大连医科大学附属第二医院院内基金(2022LCJSYS18)
出版年
2024
NETL
NSTL
万方数据