量化口腔喉吞障碍,以应对玻尿酸粘度的反应
Kendrea L Focht Garand1, Kent Armeson2, Elizabeth G Hill2
1Department of Communication Science and Disorders, University of Pittsburgh, PA.
American journal of speech-language pathology
|October 30, 2023
概括
改变 bolous 的粘度会影响吞功能. 较厚的液体改善了患者的吞功能,根据修改的巴里吞障碍概况 (MBSImP) 测量.
科学领域:
- 消化障碍的研究 消化障碍研究
- 吞生物机械学的吞
- 临床评估工具 临床评估工具
背景情况:
- 口腔喉吞障碍影响了许多患者.
- 球体粘度是影响吞安全性和效率的关键因素.
- 修改的吞损伤概况 (MBSImP) 是一种经过验证的观察性测量工具.
研究的目的:
- 评估使用MBSImP来量化口腔喉吞变化的可行性.
- 为了研究改变玻尿酸粘度对特定吞部件的影响.
- 在这种情况下,评估MBSImP的可靠性和有效性.
主要方法:
- 追溯分析119名怀疑患有食障碍的患者.
- 分析了视频光镜吞研究 (VFSS).
- 两名专家临床医生使用MBSImP对特定的吞部件 (上垂体运动,喉升高,下垂体外游,舌头底部收缩,喉剥离,PES开口) 在薄液和布丁粘度上进行共识评分.
主要成果:
- 较差的MBSImP得分 (表明更大的损害) 被观察到与薄液相比布丁对于状腺外游,表关节运动,喉剥离和PES开放.
- 较好的MBSImP得分 (表明较少的损伤) 被观察到与薄液体的舌头底部收缩.
- 在大多数组件中发现了显著的差异 (p < .05).
结论:
- 球体粘度显著影响口腔喉吞机制.
- 增加粘度,特别是布丁度,似乎可以改善患有吞障碍的患者的吞功能.
- 这些发现支持粘度和感官反在感官运动吞程序中的作用.
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