口腔機能・嚥下機能障害
口腔機能・嚥下機能は，高齢者のQOLの維持・向上，コミュニケーションと社会生活をいとなむ上で重要な役割を担っている．嚥下障害・嚥下困難は誤嚥性肺炎の誘因となるだけでなく，サルコぺニア・免疫能の低下・傷などの治癒能の低下や循環血漿量の減少を引き起こし，ひいてはADLの低下，褥創，転倒，易感染性などといったさまざまな老年症候群を引き起こす．そのような場合，嚥下機能低下への対応が老年症候群全体への対応となる．我々はこれまで嚥下障害を持つ高齢患者において，通常の嚥下リハビリ・口腔ケアに加え様々な抗誤嚥薬と考えられるものを投与してきた．このような試みの積み重ねが肝要と思われる．...
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| Published in | 日本老年医学会雑誌 Vol. 49; no. 5; pp. 579 - 581 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本老年医学会
2012
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0300-9173 |
| DOI | 10.3143/geriatrics.49.579 |
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| Abstract | 口腔機能・嚥下機能は，高齢者のQOLの維持・向上，コミュニケーションと社会生活をいとなむ上で重要な役割を担っている．嚥下障害・嚥下困難は誤嚥性肺炎の誘因となるだけでなく，サルコぺニア・免疫能の低下・傷などの治癒能の低下や循環血漿量の減少を引き起こし，ひいてはADLの低下，褥創，転倒，易感染性などといったさまざまな老年症候群を引き起こす．そのような場合，嚥下機能低下への対応が老年症候群全体への対応となる．我々はこれまで嚥下障害を持つ高齢患者において，通常の嚥下リハビリ・口腔ケアに加え様々な抗誤嚥薬と考えられるものを投与してきた．このような試みの積み重ねが肝要と思われる． |
|---|---|
| AbstractList | 口腔機能・嚥下機能は，高齢者のQOLの維持・向上，コミュニケーションと社会生活をいとなむ上で重要な役割を担っている．嚥下障害・嚥下困難は誤嚥性肺炎の誘因となるだけでなく，サルコぺニア・免疫能の低下・傷などの治癒能の低下や循環血漿量の減少を引き起こし，ひいてはADLの低下，褥創，転倒，易感染性などといったさまざまな老年症候群を引き起こす．そのような場合，嚥下機能低下への対応が老年症候群全体への対応となる．我々はこれまで嚥下障害を持つ高齢患者において，通常の嚥下リハビリ・口腔ケアに加え様々な抗誤嚥薬と考えられるものを投与してきた．このような試みの積み重ねが肝要と思われる． |
| Author | 海老原, 覚 |
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| Copyright | 2012 一般社団法人 日本老年医学会 |
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| References | 7) Teramoto S, Yamamoto H, Yamaguchi Y, Ishii M, Hibi S, Kume H, et al.: Antiplatelet cilostazol, an inhibitor of type III phosphodiesterase, improves swallowing function in patients with a history of stroke. J Am Geriatr Soc 2008; 56: 1153-1154. 8) Nakagawa T, Wada H, Sekizawa K, Arai H, Sasaki H: Amantadine and pneumonia. Lancet 1999; 353: 1157. 2) Watando A, Ebihara S, Ebihara T, Okazaki T, Takahashi H, Asada M, et al.: Effect of temperature on swallowing reflex in elderly patients with aspiration pneumonia. J Am Geriatr Soc 2004; 52: 2143-2144. 3) Yamasaki M, Ebihara S, Ebihara T, Yamanda S, Arai H, Kohzuki M: Effects of capsiate on the triggering of the swallowing reflex in elderly patients with aspiration pneumonia. Geriatr Gerontol Int 2010; 10: 107-109. 5) Ebihara T, Ebihara S, Watando A, Okazaki T, Asada M, Ohrui T, et al.: Effects of menthol on the triggering of the swallowing reflex in elderly patients with dysphagia. Br J Clin Pharmacol 2006; 62: 369-371. 6) Ebihara T, Ebihara S, Maruyama M, Kobayashi M, Itou A, Arai H, et al.: A randomized trial of olfactory stimulation using black pepoer oil in older people with swallowing dysfunction. J Am Geriatr Soc 2006; 54: 1401-1406. 4) Ebihara S, Maruyama Y, Ebihara T, Oshiro T, Kohzuki M: Red wine polyphenols and swallowing reflex in dysphagia. Geriatr Gerontol Int 2010; 10: 329-330. 1) Sasaki H: Single pathogenesis of geriatric syndrome. Geriotr Gerontil Int 2008; 8: 1-4. 9) Ebihara T, Ebihara S, Okazaki T, Takahashi H, Wantando A, Yasuda H, et al.: Theophylline-improved swallowing reflex in elderly nursing home patients. J Am Geriatr Soc 2004; 52: 1787-1788. 10) Nakayama K, Sekizawa K, Sasaki H: ACE inhibitor and swallowing reflex. Chest 1998; 113: 1425. |
| References_xml | – reference: 2) Watando A, Ebihara S, Ebihara T, Okazaki T, Takahashi H, Asada M, et al.: Effect of temperature on swallowing reflex in elderly patients with aspiration pneumonia. J Am Geriatr Soc 2004; 52: 2143-2144. – reference: 5) Ebihara T, Ebihara S, Watando A, Okazaki T, Asada M, Ohrui T, et al.: Effects of menthol on the triggering of the swallowing reflex in elderly patients with dysphagia. Br J Clin Pharmacol 2006; 62: 369-371. – reference: 9) Ebihara T, Ebihara S, Okazaki T, Takahashi H, Wantando A, Yasuda H, et al.: Theophylline-improved swallowing reflex in elderly nursing home patients. J Am Geriatr Soc 2004; 52: 1787-1788. – reference: 1) Sasaki H: Single pathogenesis of geriatric syndrome. Geriotr Gerontil Int 2008; 8: 1-4. – reference: 6) Ebihara T, Ebihara S, Maruyama M, Kobayashi M, Itou A, Arai H, et al.: A randomized trial of olfactory stimulation using black pepoer oil in older people with swallowing dysfunction. J Am Geriatr Soc 2006; 54: 1401-1406. – reference: 4) Ebihara S, Maruyama Y, Ebihara T, Oshiro T, Kohzuki M: Red wine polyphenols and swallowing reflex in dysphagia. Geriatr Gerontol Int 2010; 10: 329-330. – reference: 7) Teramoto S, Yamamoto H, Yamaguchi Y, Ishii M, Hibi S, Kume H, et al.: Antiplatelet cilostazol, an inhibitor of type III phosphodiesterase, improves swallowing function in patients with a history of stroke. J Am Geriatr Soc 2008; 56: 1153-1154. – reference: 3) Yamasaki M, Ebihara S, Ebihara T, Yamanda S, Arai H, Kohzuki M: Effects of capsiate on the triggering of the swallowing reflex in elderly patients with aspiration pneumonia. Geriatr Gerontol Int 2010; 10: 107-109. – reference: 8) Nakagawa T, Wada H, Sekizawa K, Arai H, Sasaki H: Amantadine and pneumonia. Lancet 1999; 353: 1157. – reference: 10) Nakayama K, Sekizawa K, Sasaki H: ACE inhibitor and swallowing reflex. Chest 1998; 113: 1425. |
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| Title | 口腔機能・嚥下機能障害 |
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