摘要
目的通过吞咽动力学研究了解并初步建立成年国人咽部吞咽功能相关参数的客观数值。方法对年龄20～60岁的男女各40例健康成人志愿者进行X线动态吞咽造影检查并录像，然后通过图像分析测量软件Avidemux2．5及ImageJ计算测量在吞咽过程中与咽部吞咽功能密切相关的客观参数，如舌骨的最大移动距离、钡剂通过咽腔的时间、咽腔的收缩率及食管入口的最大开放程度。结果在80例志愿者中，舌骨的最大移动平均距离（面±s，下同）为（1．91±0．48）cm，钡剂通过咽腔的时间为（0．82±0．15）S，咽腔的缩窄率为94．9％±3．41％，食管入口的最大开放程度为（0．91±0．05）em。进一步分组分析发现，男性舌骨的最大移动距离（2．04±0．46）cm，明显大于女性（1．78±0．47）em，差异具有统计学意义（t=2．44，P=0．017），但男女之间及男女不同年龄组之间钡剂通过咽腔的时间、咽腔收缩率及食管入口的最大开放程度差异均无统计学意义（P值均〉0．05）。结论本研究初步建立了成年国人咽部吞咽功能相关参数的客观数值，为更进一步地客观评估咽部吞咽障碍提供了研究基础。
Objective To obtain a series of objective criteria associated with pharyngeal swallowing function using dynamic swallow study in Chinese adults. Methods Dynamic videofluoroscopic swallow studies were performed on 80 normal aduh volunteers. There were 40 males and 40 females aged from 20 to 60 years old. Measurement software Avidemux 2. 5 and Image J were used to measure the objective parameters which were closely related to the pharyngeal swallowing function in the swallowing process, such as maximum displacement of the hyoid bone （HmaxD）, pharyngeal transit time （±）, pharyngeal constriction ratio（PCR）, and maximum opening of the esophageal entrance （EEmax）. Results In the 80 adults, the HmaxD, PTT, PCR, and EEmax were （ 1.01 ± 0. 48） cm （x ± s）, （0. 82 ± O. 15 ） s, 94. 9% ± 3.41% , and （0. 91 ± 0. 05 ） cm respectively. The HmaxD of the male （ 2.04 ± 0. 46 ） cm was significantly larger than that of the female （ 1.78 ± 0. 47 ） cm （ t = 2. 44, P = 0. 017 ）, but the lrlT, PCR, and EEmax had no significant difference between different gender and age groups （ P 〉 0. 05 ）. Conclusions Objective parameters of the HmaxD, PCR, and EEmax during swallowing are obtained in Chinese adults. These data are important for assessment of the swallow function and these data provide a foundation for further research on assessment of swallowing function in Chinese.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第11期884-888,共5页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金
首都医学科研发展基金资助创新项目（2009-3085）
关键词
吞咽
咽
成年人
参考值
测压法
Deglutition
Pharynx
Adult
Reference values
Manometry
