使用高分辨率阻抗力度计评估喉切除术后的喉功能障碍康复:一项探索性研究
Marise Neijman1,2,3, Maarten J A van Alphen4,5, Rob J J H van Son4,6,5
1Department of Head and Neck Oncology and Surgery, the Netherlands Cancer Institute, Plesmanlaan 121, Amsterdam, 1066 CX, the Netherlands. m.neijman@nki.nl.
概括
喉阻力练习显示,喉切除术的喉压力发生了轻微,无意义的变化. 高分辨率阻抗测量 (HRIM) 提供了洞察力,但其用于耳喉乱的临床应用需要进一步研究.
科学领域:
- 吞生理学 吞生理学
- 耳鼻喉康复 耳鼻喉康复
- 诊断技术 诊断技术 诊断技术
背景情况:
- 喉切除术显著影响吞功能,导致喉缺.
- 高分辨率阻抗测量 (HRIM) 是评估喉吞机制的新兴工具.
- 康复策略旨在改善这一群体的吞结果.
研究的目的:
- 探索高分辨率阻抗测量 (HRIM) 在评估大喉功能障碍时的实用性.
- 评估喉吞参数的变化,以抵抗为基础的训练计划后,在喉切除.
- 确定HRIM在耳鼻喉康复中的潜在临床价值.
主要方法:
- 喉HRIM结合视频光镜在17个喉腔切除患者.
- 测量包括喉收缩整体,腹内压力,UES放松时间,最大吸收率和综合放松压力.
- 在基线 (T0),训练后 (T1) 和休息后 (T2) 收集的数据.
主要成果:
- 在不同时间点的关键HRIM参数中没有观察到统计学意义上的差异.
- 在训练后 (T1) 观察到喉压力和最大吸收率的轻微,不显著的下降.
- 这些参数在后续评估 (T2) 中略有增加.
结论:
- 基于阻力的吞练习产生了极小的,不显著的变化,在喉喉压力.
- HRIM提供了有价值的生理数据,但它在喉乱治疗中的确切作用需要进一步研究.
- 对于喉切除术的HRIM的临床适用性仍然不确定.
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