革新吞咽障碍护理：液体食物增稠剂作为预防营养不良的变革者
Revolutionizing dysphagia care: liquid food thickeners as game-changers in malnutrition prevention.
文献信息
| PMID | 42759290 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Jiayi Liang |
| 作者单位 | College of Health-Preservation and Wellness, Dalian Medical University, Dalian, Liaoning, PR China. |
| 期刊 | Nutrition (Burbank, Los Angeles County, Calif.) |
| SCI 分区 | Q2 |
| IF | 3.9 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
吞咽障碍与营养不良形成自我维持的循环，显著恶化临床预后。本综述旨在综合吞咽障碍患者中营养不良的高患病率及多因素病因学证据，批判性评估多样化的管理策略，并重点分析液体食物增稠剂。现有证据表明，增稠剂通过流变学改良提高吞咽安全性，但在药物相互作用、胃肠道后遗症和患者依从性方面存在争议。未来，护理模式需要超越通用的增稠方案，转向精准营养，依托材料科学、数字监测和病因特异性干预，打破吞咽障碍-营养不良关联，改善以患者为中心的结局，并减轻医疗负担。
英文摘要
Dysphagia and malnutrition form a self-sustaining cycle, which significantly deteriorates the clinical prognosis. This review aims to synthesize the high prevalence of malnutrition in patients with dysphagia and multifactor etiological evidence, critically evaluate diversified management strategies, and focus on the analysis of liquid food thickeners. Existing evidence shows that thickeners improve swallowing safety through rheological modification, but there are controversies in drug interactions, gastrointestinal sequelae, and patient compliance. In the future, the nursing model needs to go beyond the general thickening program and turn to precision nutrition, relying on material science, digital monitoring and etiology-specific intervention to break the dysphagia-malnutrition association, improve patient-centered outcomes, and reduce medical burden.