摘要
目的 通过电视X线透视吞咽功能的研究 ,评价健康老年妇女液体吞咽运动 ,并对液体吞咽运动的影响因素进行分析。 方法 4 0例健康老年妇女 ,老年前期组 (5 0～ 5 9岁 ) 2 0例 ;老年组 2 0例 ,年龄 6 0～ 79岁。进行电视X线透视液体吞咽功能检查 ,分别对口咽部相关结构进行运动学分析 ,比较不同液体食团体及年龄对健康老年妇女吞咽的影响。 结果 (1 )老年组较老年前期组渗透、口咽部滞留发生率增高 ,两组渗透发生率分别为 :7 5 %、3 8% ;口腔滞留发生率分别为 :1 2 5 %、6 3% ;咽腔滞留发生率分别为 :2 6 5 %、1 7 5 % ;口咽传递时间、腭咽部关闭时间及环咽部开放时间延长 (均为P <0 0 5 ) ;喉、舌骨向上运动距离增大 (P <0 0 5 )。 (2 ) 1 0ml食团较 1ml渗透、口咽部滞留发生率增高 ,两组渗透发生率分别为 :8 8%、2 5 % ;口腔滞留发生率分别为 :1 3 8%、5 0 % ;咽腔滞留发生率分别为 :31 3%、1 3 8% ;口传递时间缩短而环咽部开放时间延长 (均为P <0 0 5 ) ;喉向上、前运动 ,舌骨向前、向上运动的距离增大 (P <0 0 5 )。 结论 临床应用电视X线透视吞咽功能检查并对口咽期吞咽功能进行运动学分析是可行的 ;
Objective Through videofluroscopy swallow study in function assessment of oropharyngeal swallowing in healthy older women,to explore the effects of different factors on the quantitative feature of oropharyngeal swallowing of healthy older women . Methods Videofluoroscopic studies (VFSS) were done during swallowing on 40 healthy elderly women to obtain multiple kinematic parameters of swallowing function .The effects of liquid bolus volume and age were compared. Results As the age increasesd, the precent of swallows with penetration, oropharyngeal residue and oropharyngeal transit time, durations of velopharyngeal clouse and cricopharyngeal opening increased. The range of vertical of hyoid movement and vertical laryngeal movement increased. As the bolus volume increases ,the percent of swallows with penetration,oropharyngeal residue and durations of cricopharyngeal opening increased ,oral transit time decreased .The range of vertical and anterior of hyoid and laryngeal movement increased. Conclusions (1) As an important assessment technique of swallowing function, VFSS can observe the whole course of swallowing. (2)Age and bolus volume influence the liquid swallowing of healthy older women.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2004年第11期796-799,共4页
Chinese Journal of Geriatrics
