耳鼻无能与伪布鲁巴的语音-吞分离:通过高分辨率手指测量进行评估
Shinji Miyagawa1,2, Hiroshi Yaguchi3, Kenjiro Kunieda4,5
1Department of Neurology, The Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwa-shi, Chiba, 277-8567, Japan. miyagawa0323@gmail.com.
Dysphagia
|March 16, 2024
概括
与吞相比,患有伪泡泡性的患者在说话和吹气时表现出较弱的耳鼻关闭. 这种"言语吞分离" (SSD) 是诊断这些患者的食不适症的关键指标.
科学领域:
- 神经学 神经学
- 语音语言病理学 语音语言病理学
背景情况:
- 伪布鲁巴经常导致喉无能,影响言语和吞.
- 喉无能症通常在呼气任务 (如说话或吹气,但不吞) 期间被发现,这种现象被称为"语音吞分离" (SSD).
- 虽然SSD的内镜发现已知,但定量数据仍然有限.
研究的目的:
- 为了量化评估发言吞分离 (SSD) 在患有伪泡泡巴的患者.
- 为了比较患者和健康对照者在吞和呼气活动期间的喉压力.
主要方法:
- 使用高分辨率计量法测量了在吞和呼气活动期间的喉压力.
- 十个健康的受试者和十个患有伪泡泡巴的患者参与了这项研究.
- 在干燥的吞,说话和吹气过程中评估了最大的喉收缩压力 (V-Pmax).
主要成果:
- 两组之间在吞过程中没有发现V-Pmax的显著差异 (190.5 mmHg与173.6 mmHg).
- 发言期间的V-Pmax在伪泡泡性组显著较低 (85.4 mmHg与34.5 mmHg).
- 发言和吞V-Pmax之间的分离在患者中显著增加 (52%对80%).
结论:
- 与吞相比,伪布鲁巴患者在发言和吹气时表现出量化较弱的喉压力,这证实了SSD.
- 这种对SSD的定量评估可以有助于区分食障碍的原因.
相关概念视频
Deglutition
Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
Upper GI Series: Barium Swallow
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Suctioning the Oropharyngeal Airway
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...


