摘要
目的通过观察舌压和吞咽造影时吞咽器官的形态学动态变化,探讨脑卒中吞咽障碍患者的舌肌及舌骨运动与咽期咽腔活动的相互影响。方法纳入符合入组条件的13例脑卒中吞咽障碍患者作为研究对象,先对所有患者进行舌压测定(日本JMS舌压测定器),重复测量3次取平均值;舌压测定后即刻行吞咽造影检查,使用吞咽功能影像数字化采集与分析系统以30帧/秒的速率记录吞咽过程,截取目标图像。使用吞咽造影分析软件进行吞咽时吞咽器官活动的量化分析,并对舌压、舌骨运动位移、咽腔收缩率(PCR)、食管上括约肌(UES)持续开放时间等参数进行相关性分析。结果舌压[(17.06±9.68)kPa]与UES持续开放时间[(1052.3±639.08)ms]存在正相关(r=0.59,P<0.05)。舌骨向上位移[(10.65±5.88)mm]与PCR[(55.38±32.20)%]存在负相关(r=-0.53,P<0.05)。结论舌肌及舌骨活动可影响咽期吞咽器官的功能活动。
Objective To explore the relationships among tongue pressure,hyoid composite movement and pharynx phase activity among stroke survivors with dysphagia.Methods Videofluoroscopy was used to observe the swallowing performance of 13 stroke survivors with dysphagia.Their tongue pressure was also measured.Correlations were sought among the tongue pressure,hyoid motion,the pharynx contraction ratio and the duration of upper oesophageal sphincter opening.Results Tongue pressure was found to be significantly positively correlated with the duration of upper oesophageal sphincter opening.The distance of forward movement of the hyoid and the pharynx contraction ratio were also significantly positively correlated.Conclusion The tongue muscle and hyoid activity can affect the activity in the pharyngeal phase of swallowing.
作者
唐志明
安德连
温红梅
宫本明
窦祖林
Tang Zhiming;An Delian;Wen Hongmei;Miyamoto Akira;Dou Zulin(Department of Rehabilitation,The Third Affiliated Hospital,Sun Yat-Sen University,Guangzhou 510630,China;Faculty of Rehabilitation,Department of Physical Therapy,Kobe International University,Kobe 6580032,Japan)
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2019年第12期889-893,共5页
Chinese Journal of Physical Medicine and Rehabilitation
基金
国家自然科学基金项目(81401872)
广东省科技计划项目(2016A010105005)
广州市科技计划项目(201604020153)。
关键词
脑卒中
吞咽困难
舌压
吞咽造影
舌骨运动
Stroke
Dysphagia
Tongue pressure
Videofluoroscopy
Hyoid motion
