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喉高分辨率计量规范数据的系统审查
Rameen K Walters1, Rachana Gudipudi1, Tamar Gordis1
1Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston.
American journal of speech-language pathology
|December 21, 2023
概括
标准化高分辨率喉测量仪 (HRPM) 对于评估吞困难至关重要. 本次审查突出了公布的规范值的变化,强调需要一致的协议来建立可靠的参考数据.
科学领域:
- 吞障碍 吞障碍 吞障碍
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械 医疗器械
背景情况:
- 高分辨率喉测量仪 (HRPM) 越来越多地用于喉乱的评估.
- 缺乏标准化的协议和规范性价值阻碍了HRPM的临床采用.
- 建立共识参考值对于有意义地使用HRPM至关重要.
研究的目的:
- 为共同的HRPM指标绘制和比较已公布的规范值.
- 在不同研究中识别HRPM技术和设备的变化.
- 为了促进建立HRPM的共识参考值.
主要方法:
- 对前性和后性研究进行系统审查.
- 包括在健康成年人中通过国际工作组共识定义的HRPM指标的研究.
- 提取关于喉收缩整数 (PhCI) 和上食道关节 (UES) 参数 (IRP,RT,入口,腹内压力) 的数据.
主要成果:
- 包括30项研究,揭示了技术和设备的显著差异.
- 在年轻人中观察到较低的PhCIs和UES综合放松压力 (IRP).
- 较高的UES放松时间 (RT) 与直立姿势,较大的球体大小和较小的导管有关.
结论:
- 协议,设备和软件的显著异质性使得HRPM规范值的数据聚合变得复杂.
- 需要使用标准化HRPM协议进行前性研究.
- 需要更大的健康个体队伍来建立可靠的HRPM参考值.
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