在接受肺移植评估的患者中,呼吸-吞模式和口腔喉吞障碍
Kahla Graham1, Erin L Reedy1,2, Jungwha Julia Lee3
1Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, School of Communication, Northwestern University, Evanston, Illinois, USA.
肺移植候选人往往有吞困难,与异常的呼吸模式有关. 了解呼吸-吞协调对于改善肺移植前后患者的治疗结果至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
- 语音语言病理学 语言病理学
背景情况:
- 吞障碍在肺移植接受者中很常见.
- 在移植前的评估中,基线呼吸和吞功能经常被忽视.
- 潜在的呼吸道疾病可能会导致异常的呼吸-吞协调.
研究的目的:
- 研究肺移植候选人的呼吸模式和吞障碍之间的关系.
- 在这个人群中识别与缺口症相关的特定呼吸系统特征.
主要方法:
- 在肺移植评估期间,对50名接受修改巴吞研究的患者进行横截面研究.
- 使用修改的巴吞障碍概况和透吸收量表来评估吞功能.
- 与视频光学同步的呼吸系统光学分析了相位模式,暂停时间和速率.
主要成果:
- 吞障碍的高患病率,包括延迟开始,口腔残留物和食道不完全打开.
- 不典型的呼吸模式显著与喉吞启动,喉升高和关闭受损相关.
- 呼吸暂停时间增加与吞开始,喉升高/关闭和舌头底部收缩受损有关.
结论:
- 肺移植候选人表现出明显的吞功能障碍和异常的呼吸阶段模式.
- 研究结果表明,需要进一步研究呼吸-吞协调在肺移植前后的肺功能障碍中的作用.
- 早期识别和治疗呼吸吞功能障碍可能会改善移植结果.
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