首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Tube feeding in stroke patients: a medical and ethical perspective.
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Tube feeding in stroke patients: a medical and ethical perspective.

机译:中风患者的管饲:医学和伦理学观点。

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摘要

Dysphagia, or difficulty swallowing, is a relatively common consequence following stroke, with most sources quoting rates of around 40%. The percentage of stroke patients who require tube feeding for nutritional support varies quite widely, with studies quoting rates in the acute phase from 8.5% to 29%. Since stroke patients are likely to constitute a high percentage of patients on a neurology or rehabilitation ward, neurologists and physiatrists are likely to be confronted with the sometimes challenging decision of whether and when to commence tube feeding and whether and when to discontinue it after it has begun. This decision-making process is likely to involve medical, ethical and legal considerations and the main purpose of this paper is to review these considerations and provide some practical recommendations.
机译:吞咽困难或吞咽困难是中风后的一种相对普遍的后果,大多数来源的引用率约为40%。需要管饲以提供营养支持的中风患者的百分比差异很大,研究表明急性期的比率从8.5%增至29%。由于中风患者可能在神经病学或康复病房中占高比例,因此神经科医生和生理学家可能面临有时甚至是颇具挑战性的决定,即是否以及何时开始管饲以及是否以及何时终止管饲。开始。该决策过程可能涉及医学,道德和法律方面的考虑,并且本文的主要目的是回顾这些考虑并提供一些实用的建议。

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