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논문KCI 등재

심폐기능 저하 환자에 적합한 연하치료법은 무엇인가?

Swallowing Training for Patients with Impaired Cardiopulmonary Function

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초록

Patients after cardiac operation or pulmonary operation often have oropharyngeal dysphagia. So we have to pay attention to their symptom. If we find out sign or symptom, we need to evaluate problems by Videofluoroscopic Swallow Study. We should verify proper approach according to problems. And we have to take into account their cardiopulmonary function. So we should start to intervene oropharyngeal dysphagia by slightly intensity. Patients don't have to feel the burden during intervention. (JKDS 2012;2:27-30)

Abstract

Patients after cardiac operation or pulmonary operation often have oropharyngeal dysphagia. So we have to pay attention to their symptom. If we find out sign or symptom, we need to evaluate problems by Videofluoroscopic Swallow Study. We should verify proper approach according to problems. And we have to take into account their cardiopulmonary function. So we should start to intervene oropharyngeal dysphagia by slightly intensity. Patients don't have to feel the burden during intervention. (JKDS 2012;2:27-30)

참고문헌 (10)

  1. Skoretz SA, "The incidence of dysphagia following endotracheal intubation: a systematic review", Chest, 137, pp.665~673 (2010)
  2. Barker J, "Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery", Can J Surg, 52, pp.119~124 (2009)
  3. Dikeman KJ, "Communication and swallowing management of tracheostomized and ventilator-dependent adults" (2003), Thomson Delmar Learning
  4. Groher ME, "Dysphagia: clinical management in adults and children" (2010), London, Mosby
  5. Atkins BZ, "Impact of oropharyngeal dysphagia on long-term outcomes of lung transplantation", Ann Thorac Surg, 90, pp.1622~1628 (2010)
  6. Atkins BZ, "Assessing oropharyngeal dysphagia after lung transplantation : altered swallowing mechanisms and increased morbidity", J Heart Lung Transplant, 26, pp.1144~1148 (2007)
  7. Bhattacharyya N, "Improved outcomes with early vocal fold medialization for vocal fold paralysis after thoracic surgery", Auris Nasus Larynx, 30, pp.71~75 (2003)
  8. Hogue CW, "Swallowing dysfunction after cardiac operations : associated adverse outcomes and risk factors including intraoperative transesophageal echocardiography", J Thorac Cardiovasc Surg, 110, pp.517~522 (1995)
  9. Ferraris VA, "Oropharyngeal dysphagia after cardiac operations", Ann Thorac Surg, 71, pp.1792~1796 (2001)
  10. Skoretz, SA, "Dysphagia following cardiovascular surgery : a clinical overview", Can J Cardiovasc Nurs, 19, pp.10~16 (2009)

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