在宫脊髓损伤后患有松症的患者中呼吸和吞之间的协调:一项观察性病例对照研究
Xuluan Xu1,2, Qingsu Zhang1,2, Yongqi Xie1,3
1School of Rehabilitation, Capital Medical University, Beijing, China.
American journal of speech-language pathology
|September 6, 2024
概括
椎脊髓损伤 (CSCI) 和食障碍患者在吞后表现出改变的呼吸模式. 较短的吞呼吸暂停 (SAD) 持续时间预测CSCI患者的消化不良,突出显示呼吸-吞协调受损.
科学领域:
- 神经学 神经学
- 生理学 生理学 生理学
- 语音语言病理学 语言病理学
背景情况:
- 椎脊髓损伤 (CSCI) 可能导致腹,影响呼吸和吞的协调.
- 了解呼吸和吞的生理变化对于管理CSCI相关的食不适至关重要.
研究的目的:
- 为了研究CSCI后食障碍患者的呼吸和吞模式的差异.
- 为了识别导致CSCI患者失足症的潜在生理变化.
主要方法:
- 一项涉及95名参与者的研究:32人患有CSCI后食障碍,33人没有CSCI后食障碍,以及30名健康对照.
- 评估包括床边吞评估,吞的灵活内镜评估,以及用鼻腔气流传感器进行表面电肌图.
主要成果:
- 患有CSCI后食障碍的患者在吞后表现出一种启发性呼吸模式,与对照组不同.
- 吞性呼吸暂停 (SAD) 的持续时间在食障碍患者中显著较短 (p < .001).
- 缺食症患者观察到吞效率降低和呼吸时间缩短;SAD是缺食症的显著预测因素 (p < .001).
结论:
- 患有食障碍的CSCI患者表现出异常的吞后呼吸模式和SAD的减少.
- 较短的SAD是预测CSCI患者食障碍的一个关键指标.
- 与没有和健康个体相比,CSCI患者的呼吸吞协调明显改变.
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