危重患者气管插管拔管后吞咽功能障碍研究新进展

【摘要】 危重患者气管插管拔管后吞咽功能障碍可影响患者预后，严重增加社会医疗负担及照护负担。本文从危重患者气管插管拔管后吞咽功能障碍的流行病学情况及原因、影响因素和干预策略进行总结，可为危重患者气管插管拔管后吞咽功能障碍的管理提供借鉴和参考。

【关键词】 气管插管拔除；吞咽障碍；危重患者；综述

【中图分类号】 R 605.973 【文献标识码】 A DOI：10.12114/j.issn.1007-9572.2021.02.087

何月月，刘欢，田永明，等. 危重患者气管插管拔管后吞咽功能障碍研究新进展［J］. 中国全科医学，2022，25（6）：760-765.［www.chinagp.net］

HE Y Y，LIU H，TIAN Y M，et al. New advances in post-tracheal extubation swallowing dysfunction in critically ill patients［J］. Chinese General Practice，2022，25（6）：760-765.

New Advances in Post-tracheal Extubation Swallowing Dysfunction in Critically Ill Patients HE Yueyue，LIU Huan，TIAN Yongming*，DU Aiping，XU Yu，JING Wenwen

West China School of Nursing，Sichuan University/West China Hospital of Sichuan University，Chengdu 610041，China

*Corresponding author：TIAN Yongming，Chief superintendent nurse；E-mail：arrontian@163.com

【Abstract】 Post-tracheal extubation swallowing dysfunction in critically ill patients may negatively affect patient prognosis，and cause significant increases in relevant medical and social burden as well as care burden. We reviewed the epidemiology，causes，associated factors and interventions regarding post-tracheal extubation swallowing dysfunction in critically ill patients，aiming at providing evidence for the management of post-tracheal extubation swallowing dysfunctionin this group.

【Key words】 Airway extubation；Deglutition disorders；Critically ill patients；Review

气管插管是快速改善危重患者的氧合进行气道管理的有效方法，可帮助患者恢复呼吸，是必要救生措施［1］。（剩余17047字）