消过程中上食道功能正常变化:视频光学数据的二次分析
Kevin Renz Ambrocio1, Reagan Ramsey2, Ashli O'Rourke3
1Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
The Laryngoscope
|November 14, 2023
概括
年龄,性别和食物类型会影响健康成年人的上缩管 (UES) 开口. 了解这些因素对于诊断像吞障碍这样的吞困难至关重要.
科学领域:
- 吞生理学 吞生理学
- 胃肠病学 胃肠病学
- 脱的生物力学
背景情况:
- 喉功能障碍是喉食管失调的常见原因之一.
- 人口统计和球体特性影响上食道关节 (UES) 功能.
- 之前的研究没有在大规模调查中对这些因素进行集体评估.
研究的目的:
- 研究年龄,性别和吞任务对UES开放时间 (UESOdur) 和UES最大张张 (UESmax) 的集体影响.
- 用标准化的视频光镜程序在大量健康成年人样本中分析UES功能.
主要方法:
- 分析了来自195名健康成年人 (21-89岁) 的视频光镜图像.
- 在七个不同的吞任务 (不同的粘度,体积和一致性) 中进行评估.
- 概括估计方程建模以确定年龄,性别和任务的影响.
主要成果:
- 随着年龄的增长,UES开放时间 (UESOdur) 增加;UES最大膨胀 (UESmax) 显示出反向关系.
- 女性表现出明显更宽的UESmax.
- 吞任务对UESOdur和UESmax都产生了重大影响,较厚的液体和固体通常会导致较宽的开口和较长的持续时间,与薄液体相比.
结论:
- 年龄,性别和吞任务共同影响正常的UES打开时间和程度.
- 这些发现突显了UES功能中的正常变异性.
- 考虑这些因素对于在断食症评估中准确的临床决策至关重要.
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