Sano Nozomi, Morimoto Takehiko, Yano Yoshiaki, Suzuki Yuka, Nagao Hideo, Watanabe Shohei
Department of Pediatrics, National Minami Kyushyu Hospital, Aira-gun, Kagoshima.
No To Hattatsu. 2007 Jul;39(4):275-8.
A dysphagia rehabilitation team at National Ehime Hospital treated fifty-seven patients with severe motor and intellectual disabilities suspected of having dysphagia. The rehabilitation team graded the degree of dysphagia by observing the patients at mealtimes. The grades were compared with the videofluoroscopic examination of swallowing results. There was some correlation with the dysphagia grades and videofluoroscopic examination of swallowing results (solid food:p = - 0.434, n =54, p < 0.0001, liquid:p = - 0.482, n = 54, p = 0.005). There were cases in which manifestations of severe dysphagia such as retention of solid food in the pharynx could only be detected on videofluoroscopic examination of swallowing. Dietary manipulation allowed shortening of the time taken at mealtimes for some patients. The dysphagia rehabilitation was useful in many cases in decreasing the number of days with fever, and improving the eating functional level, but the results as a whole were not statistically significant.
爱媛县立中央医院的吞咽障碍康复团队对57名疑似患有吞咽障碍的重度运动和智力残疾患者进行了治疗。该康复团队通过在进餐时间观察患者来对吞咽障碍的程度进行分级。将这些分级与吞咽结果的视频荧光透视检查结果进行比较。吞咽障碍分级与吞咽结果的视频荧光透视检查结果之间存在一定相关性（固体食物：p = - 0.434，n = 54，p < 0.0001；液体：p = - 0.482，n = 54，p = 0.005）。存在一些情况，例如咽部固体食物潴留等严重吞咽障碍的表现只能在吞咽的视频荧光透视检查中被检测到。饮食调整使一些患者进餐时间缩短。吞咽障碍康复在许多情况下有助于减少发热天数，并提高进食功能水平，但总体结果在统计学上并不显著。
