卒中患者吞咽障碍和营养管理的中国专家共识(2013版)

被引:291
作者
卒中患者吞咽障碍和营养管理中国专家组
机构
[1] 首都医科大学附属北京天坛医院神经内科
关键词
吞咽障碍; 卒中; 营养; 评价; 治疗;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
摘要
卒中后吞咽障碍及营养不良是卒中常见的并发症,显著增加卒中患者的病死率,严重影响卒中患者生活质量,并延长住院时间,增加治疗费用。自2007年《中国卒中患者营养管理的专家共识》(以下简称共识)[1]颁布以来,临床医生逐渐增加了对卒中患者吞咽障碍及营养风险管理的意识,但临床实践中还存在诸多实际困难和认识误区。在前期工作的基础上,结合新近发表的循证医学证据和国际指南,并结合中国国情及医疗现状,对旧版《共识》进行修订,并更名为《卒中患者吞咽障碍和营养管理的中国专家共识》,以期提高临床医生的认识水平,进一步规范临床实践。本共识的推荐意见分级采用牛津循证医学中心临床证据水平分级和推荐级别(表1)[2]。
引用
收藏
页码:973 / 983
页数:11
相关论文
共 36 条
  • [11] Utility of Dysphagia Screening Results in Predicting Poststroke Pneumonia
    Lakshminarayan, Kamakshi
    Tsai, Albert W.
    Tong, Xin
    Vazquez, Gabriela
    Peacock, James M.
    George, Mary G.
    Luepker, Russell V.
    Anderson, David C.
    [J]. STROKE, 2010, 41 (12) : 2849 - 2854
  • [12] Managing Dysphagia Through Diet Modifications
    Garcia, Jane Mertz
    Chambers, Edgar
    [J]. AMERICAN JOURNAL OF NURSING, 2010, 110 (11) : 26 - 33
  • [13] Analysis of a Physician Tool for Evaluating Dysphagia on an Inpatient Stroke Unit: The Modified Mann Assessment of Swallowing Ability[J] . Nader Antonios,Giselle Carnaby-Mann,Michael Crary,Leslie Miller,Holly Hubbard,Kelly Hood,Raam Sambandam,Andrew Xavier,Scott Silliman.Journal of Stroke and Cerebrovascular Diseases . 2010 (1)
  • [14] ESPEN Guidelines on Parenteral Nutrition: Intensive care[J] . Pierre Singer,Mette M. Berger,Greet Van den Berghe,Gianni Biolo,Philip Calder,Alastair Forbes,Richard Griffiths,Georg Kreyman,Xavier Leverve,Claude Pichard.Clinical Nutrition . 2009 (4)
  • [15] The Toronto Bedside Swallowing Screening Test (TOR-BSST): Development and Validation of a Dysphagia Screening Tool for Patients With Stroke[J] . Rosemary Martino,Frank Silver,Robert Teasell,Mark Bayley,Gordon Nicholson,David L. Streiner,Nicholas E. Diamant.Stroke . 2009 (2)
  • [16] Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: Executive Summary*[J] . Robert G. Martindale,Stephen A. McClave,Vincent W. Vanek,Mary McCarthy,Pamela Roberts,Beth Taylor,Juan B. Ochoa,Lena Napolitano,Gail Cresci.Critical Care Medicine . 2009 (5)
  • [17] Prospective, Randomized Outcome Study of Endoscopy Versus Modified Barium Swallow in Patients With Dysphagia[J] . Jonathan E.Aviv.The Laryngoscope . 2009 (2)
  • [18] An evaluation of three nutritional screening tools in a Portuguese oncology centre
    Amaral, T. F.
    Antunes, A.
    Cabral, S.
    Alves, P.
    Kent-Smith, L.
    [J]. JOURNAL OF HUMAN NUTRITION AND DIETETICS, 2008, 21 (06) : 575 - 583
  • [19] Serum albumin at admission for prediction of functional outcome in ischaemic stroke patients
    Cho, Yoon-Mi
    Choi, In-Sung
    Bian, Ren-Xiu
    Kim, Jae-Hyung
    Han, Jae-Young
    Lee, Sam-Gyu
    [J]. NEUROLOGICAL SCIENCES, 2008, 29 (06) : 445 - 449
  • [20] Dysphagia Bedside Screening for Acute-Stroke Patients: The Gugging Swallowing Screen[J] . Michaela Trapl,Paul Enderle,Monika Nowotny,Yvonne Teuschl,Karl Matz,Alexandra Dachenhausen,Michael Brainin.Stroke . 2007 (11)