老年吸入性肺炎住院患者的综合管理  

Development in comprehensive management of aspiration pneumonia in elderly in-patients

作　　者：谢海雁 曾平 施举红[2] Xie Haiyan;Zeng Ping;Shi Juhong(Department of Health Care,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Respiratory and Intensive Care,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院保健医疗部,北京100730 [2]中国医学科学院北京协和医学院北京协和医院呼吸与重症医学科,北京100730

出　　处：《中华老年多器官疾病杂志》2024年第2期145-148,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：2022年中央保健科研基金(2022YB22)。

摘　　要：吸入性肺炎是导致老年住院患者住院时间延长、反复住院、进展为重症甚至死亡的重要原因之一。老年吸入性肺炎发生的高危因素以及影响预后的因素均是复杂多变的,给诊断和医疗照护带来了巨大挑战。本文通过文献回顾,对近10年国内外老年吸入性肺炎住院患者的综合管理方面的研究进展进行总结和分析,包括吞咽评估及管理、老年综合评估、多学科团队干预、动态随访等,并结合临床实践探讨适合我国国情的有效管理措施。Aspiration pneumonia is one of the important reasons of prolonged hospitalization,readmission,deteriorated to critical condition or even death in elderly in-patients.The high risk factors related to onset and prognosis of the aspirated elderly are complex and diversified,leading to a significant challenge to the clinical practice.This review summarized research progresses of the past 10 years in the field of comprehensive management of elderly in-patients with aspiration pneumonia,especially focusing on dysphagia screening,assessment and management,comprehensive geriatric assessment,multidisciplinary team intervention,as well as continuous follow-up.In combination with author's clinical practice experience,we try to explore effective management protocols suitable for our national conditions.

关 键 词：老年人 吞咽困难 吸入性肺炎 老年综合评估 患者管理 

分 类 号：R592[医药卫生—老年医学]