[Dysphagia and respiratory rehabilitation in patients with Post-ICU Syndrome].

Post-ICU Syndrome (PICS) is a complex disease with multiple aspects, including physical, cognitive, and psychological health problems. Dysphagia persists in patients with PICS and is independently associated with adverse clinical outcomes after discharge. With the development of the level of intensive care, dysphagia of PICS needs more attention. Although several risk factors related to dysphagia in PICS have been proposed, the exact mechanism is still unclear. Respiratory rehabilitation is an important non-pharmacological therapy, which offers short-and long-term rehabilitation in critical patients, but its application is insufficient in dysphagia of PICS. In view of the lack of consensus on the rehabilitation treatment of dysphagia after PICS currently, the article elaborates on the related concepts, epidemiology, potential mechanisms and the application of respiratory rehabilitation in patients with dysphagia of PICS, in order to provide a reference for the clinical development of respiratory rehabilitation in patients with dysphagia of PICS.ICU经历综合征（PICS）是一类复杂疾病，涉及身体、认知和心理健康问题等多个方面。吞咽障碍在PICS患者中可持续存在，与出院后不良临床结果独立相关。随着重症救治水平提高，PICS吞咽障碍需要更重视。虽然提出几种可能导致PICS吞咽障碍的危险因素，但确切机制仍不完全清楚。呼吸康复是重要的非药物干预手段，已用于重症患者的短期和长期康复，但在PICS吞咽障碍中的应用不足。鉴于目前对PICS吞咽障碍康复治疗尚无共识，本文梳理了PICS吞咽障碍的相关概念、流行病学、潜在机制以及呼吸康复的应用进展，以期为呼吸康复在PICS吞咽障碍中的临床开展提供参考。.