老年误吸性肺炎住院患者的综合管理

吸入性肺炎是导致老年住院患者住院日延长、反复住院、进展为重症甚至死亡的重要原因之一。老年吸入性肺炎发生的高危因素以及影响预后的因素均是复杂多变的，给诊断和医疗照护带来了巨大挑战。本文通过文献回顾对近10年国内外老年吸入性肺炎住院患者的综合管理方面的研究进展进行总结和分析，包括：吞咽评估及管理、老年综合评估、多学科团队干预、动态随访等，并结合临床实践探讨适合我国国情的有效管理措施。

Development in comprehensive management of aspiration pneumonia in elderly in-patient

Aspiration pneumonia is one of the important reasons of prolonged hospitalization, readmission, deteriorated to critical condition or even death in elderly in-patients. The high risk factors related to onset and prognosis of the aspirated elderly are complex and diversified, leading to a significant challenge to the clinical practice. This review summarized research progresses of the past 10 years in the field of comprehensive management of elderly in-patients with aspiration pneumonia, especially focusing on dysphagia screening, assessment and management, comprehensive geriatric assessment, multidisciplinary team intervention, as well as continuously follow-up. In combination with author''s clinical practice experience, we try to explore effective management protocols suitable for our national conditions.