Efficacy of NUTRI’s Softia S Product in Patients with Dysphagia

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Background: Dysphagia of various origins is widespread. There is a high risk of developing formidable complications: malnutrition, dehydration, weight loss, airway obstruction, aspiration pneumonia. The product Softia S is used to solve the problems of swallowing liquids. The Ministry of Agriculture, Forestry and Fisheries of Japan financed this study within the framework of the 8-Point Cooperation Plan presented by the Prime Minister of Japan S. Abe to the President of the Russian Federation V. V. Putin in May 2016. Aims: Assessment of the efficacy and safety of NUTRI’s Softia S product for patients with dysphagia of various origins. Materials and methods: Complex assessment of dysphagia included speech therapy, video fluoroscopy and video laryngoscopy with assessment of swallowing function Rosenbek (PAS) and FEDSS scales. Patients were divided into 2 groups (experiment and control). The study lasted 14 days. Examination by a speech therapist and a nutritionist was carried out daily. On the 1st and 14th days, laboratory parameters were monitored, and the patient’s body weight was determined. Results: The study included 30 patients with mild dysphagia. By the end of the study, 8 people in the experimental group showed a restoration of the swallowing function, residual effects in the form of choking persisted in 7 people. In the control group, a slight improvement was observed in 2 patients, 13 had no changes. The most significant changes were found in the experimental group for the indicators "Time of eating" ("Breakfast", on average, 3.7 minutes, p=0.0033; "Lunch", on average, 6.9 minutes, p <0.0001); "The number of chokes after hydration" ("Breakfast" by an average of 7.0, p <0.0001; "Lunch" by an average of 8.1, p <0.0001; "Dinner" by an average of 6.8, p <0.0001); "The number of chokes during hydration" ("Breakfast" by an average of 8.8, p <0.0001; "Lunch" by an average of 12.1, p <0.0001; "Dinner" by an average of 8.7, p <0.0001). The number of dysphonia cases with sputum significantly decreased only in the experimental group. Conclusions: Softia S can be used in complex therapy for dysphagia by reducing the amount of choking after and during hydration and time of eating and dysphonia cases with sputum.

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Natal'ya Pryanikova

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

编辑信件的主要联系方式.
Email: klyaksa451@mail.ru
ORCID iD: 0000-0002-4864-795X
SPIN 代码: 4614-4725

speech therapist, neurological department of neurorehabilitation

俄罗斯联邦, 25, building 2, Petrovka st., 107031, Moscow

Anna Bykadorova

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Email: abykadorova@fnkcrr.ru
ORCID iD: 0000-0003-2113-0456

MD, dietitian doctor, admission consultative and diagnostic department

俄罗斯联邦, 25, building 2, Petrovka st., 107031, Moscow

Olesya Polikarpova

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Email: olesiapolikarpova@gmail.com
ORCID iD: 0000-0001-7715-9181
SPIN 代码: 5444-7428

speech therapist, neurological department of neurorehabilitation

俄罗斯联邦, 25, building 2, Petrovka st., 107031, Moscow

Inessa Shchelkunova

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

Email: ishchelkunova@fnkcrr.ru
ORCID iD: 0000-0002-3778-5417
SPIN 代码: 8319-4170

MD, Cand. Sci. (Med.), Deputy Director for Organization of Medical Activities

俄罗斯联邦, 25, building 2, Petrovka st., 107031, Moscow

Marina Petrova

Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology; Peoples’ Friendship University of Russia

Email: mpetrova@fnkcrr.ru
ORCID iD: 0000-0003-4272-0957
SPIN 代码: 9132-4190

MD, PhD, Professor, Deputy Director for Scientific and Clinical Activities

俄罗斯联邦, 25-2, Petrovka street, Moscow,107031; 6, Miklukho-Maklaya street, Moscow, 117198

参考

  1. Ивашкин В.Т., Маев И.В., Трухманов А.С., и др. Клинические рекомендации Российской гастроэнтерологической ассоциации по диагностике и лечению дисфагии // Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2015. № 5. С. 84–93. [Ivashkin VT, Mayev IV, Trukhmanov AS, et al. Diagnostics and treatment of dysphagia: clinical guidelines of the Russian gastroenterological association. Russian Journal of Gastroenterology, Hepatology, and Coloproctology. 2015;(5): 84–93. (In Russ).]
  2. WGO Global Guidelines. Практические рекомендации Всемирной гастроэнтерологической организации «Дисфагия». World Gastroenterology Organisation; 2014. [WGO Global Guidelines. Practical recommendations of the World Gastroenterological Organization «Dysphagia». World Gastroenterology Organisation; 2014. (In Russ).] Режим доступа: http://www.worldgastroenterology.org/UserFiles/file/guidelines/dysphagia-russian-2014.pdf. Дата обращения: 15.07.2020.
  3. Holland G, Jayasekeran V, Pendleton N, et al. Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey. Dis Esophagus. 2011;24(7): 476–480. doi: 10.1111/j.1442-2050.2011.01182.x
  4. Turley R, Cohen S. Impact of voice and swallowing problems in the elderly. Otolaryngol Head Neck Surg. 2009;140(1):33–36. doi: 10.1016/j.otohns.2008.10.010
  5. Lin LC, Wu SC, Chen HS, et al. Prevalence of impaired swallowing in institutionalized older people in Taiwan. J Am Geriatr Soc. 2002;50(6):1118–1123. doi: 10.1046/j.1532-5415.2002.50270.x
  6. Диагностика и лечение дисфагии при заболеваниях центральной нервной системы: клинические рекомендации. Под ред. Стаховской Л.В., Мельниковой Е.В. Москва, 2013. [Stakhovskaya LV, Melnikova EV, ed. Diagnosis and treatment of dysphagia in diseases of the central nervous system: clinical recommendations. Moscow; 2013. (In Russ).] Режим доступа: https://rehabrus.ru/Docs/Disfagia_last.doc. Дата обращения: 15.07.2020.

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