在日本,通常用于吞训练的果和加厚液体之间的吞动态的比较
Mineka Yoshikawa1, Jun Kayashita2, Masahiro Nakamori3
1Department of Advanced Prosthodontics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Scientific reports
|July 19, 2025
概括
较厚的液体和果通过减缓口腔传输和改善喉关闭来降低中风患者的吸入风险. 薄液体会增加吸入风险,因为喉升高延迟.
科学领域:
- 神经学 神经学
- 吞障碍 吞障碍 吞障碍
- 生物医学工程 生物医学工程
背景情况:
- 卒中幸存者经常经历食障碍,增加了吸血风险.
- 接近正常的吞功能仍然可以掩盖微妙的困难.
- 了解液体粘度的影响对于安全的吞策略至关重要.
研究的目的:
- 在中风患者中比较不同粘度液体的吞动态.
- 为了识别与薄液相比加厚液体和果相关的风险.
- 评估喉过渡时间 (PTT),喉延迟时间 (PDT) 和喉升高延迟时间 (LEDT).
主要方法:
- 视频光镜检查了175名中风患者,并进行了接近正常的查测试.
- 对薄液体,加厚液体和果的PTT,PDT和LEDT进行分析.
- 对PPT进行两相分析,以发现相对于上衣的果通道.
主要成果:
- 吸血发生在13.7%的患者中,显著延长了使用薄液体的LEDT.
- 不管液体类型,对于非吸血患者来说,PTT没有差异.
- 果延长了PDT和口通道时间,提高了安全性;薄液体增加了吸入风险.
结论:
- 薄液体带来更高的吸入风险,因为在喉升高之前过早到达状鼻.
- 较厚的一致性 (加厚的液体,果) 通过允许更多的时间来保护呼吸道,从而减轻吸入风险.
- 吞策略应考虑液体粘度,以确保中风患者的安全.
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