视频光镜测量稳定性COPD患者的吞情况,与健康老龄化相比
Renata Mancopes1, Catriona Margaret Steele1,2
1Swallowing Rehabilitation Research Laboratory, KITE Research Institute - Toronto Rehabilitation Institute, University Health Network - Toronto (ON), Canada.
CoDAS
|October 25, 2023
概括
慢性阻塞性肺病 (COPD) 中吞困难与健康的衰老不同. 患有COPD的人表现出喉前庭关闭和上食道关口受损,增加了吸入风险.
科学领域:
- 呼吸学 呼吸学 呼吸学
- 胃肠病学 胃肠病学
- 老年学是指老年学的学科.
背景情况:
- 吞障碍是慢性阻塞性肺病 (COPD) 的重要非呼吸道并发症.
- 之前的研究表明,与年轻的健康成年人相比,稳定的COPD患者的吞措施异常.
- 健康老龄化对这些吞差异的影响仍然不清楚.
研究的目的:
- 研究和区分稳定性COPD个体的吞特征与年龄匹配的健康对照个体的吞特征.
- 确定COPD中观察到的吞变化是由于疾病本身还是衰老的结果.
主要方法:
- 视频光学数据的回顾性分析来自28名稳定的COPD患者和28名年龄和性别匹配的健康成年人.
- 参与者吞下了各种液体的一致性 (薄到极厚).
- 关键措施包括喉前门关闭 (LVC),吞时间,上食道 (UES) 打开,喉收缩和残留物,使用曼-惠特尼U测试进行分析.
主要成果:
- 慢性肺炎患者的喉前门关闭时间显著缩短.
- 在COPD组中观察到较早的发病和较短的食道上关节开放的持续时间.
- 减少喉收缩是COPD参与者的重要发现;其他措施显示没有显著的群体差异.
结论:
- 该研究确定了稳定的COPD中特定的吞特征,这些特征与正常的衰老过程不同.
- 这些在COPD患者中发现的吞异常表明吸食风险增加.
- 这些发现强调了在COPD管理中需要有针对性的吞评估和干预措施的必要性.
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