Nóbrega Ana Caline, Rodrigues Bernardo, Torres Ana Catarina, Scarpel Renata D'Arc, Neves Carolina Alves, Melo Ailton
Division of Neurology and Epidemiology, Federal University of Bahia, Brazil.
Parkinsonism Relat Disord. 2008;14(3):243-5. doi: 10.1016/j.parkreldis.2007.08.003. Epub 2007 Sep 24.
Drooling is a common manifestation in Parkinson's disease (PD). It causes psychosocial difficulties and can result in aspiration and chest infection. Previous studies point to an association between swallowing problems and sialorrhea. The aim of this study was to determine if drooling is associated with dysphagia in PD patients. Sixteen PD patients with diurnal drooling were assessed using a modified barium swallowing with videofluoroscopy, and a drooling score. Changes in the oral stage of swallowing were seen in 100% of the patients; and in the pharyngeal stage, in 94% of the patients. The results showed a correlation between the drooling scale score and the level of dysphagia (-0.426; p<0.05). Patients with the worst dysphagia had the worst drooling.
流口水是帕金森病(PD)的常见表现。它会导致心理社会方面的困难,并可能引发误吸和胸部感染。先前的研究指出吞咽问题与流涎之间存在关联。本研究的目的是确定PD患者的流口水是否与吞咽困难有关。对16名日间流口水的PD患者进行了改良钡剂吞咽荧光透视检查和流口水评分评估。100%的患者在吞咽的口腔期出现变化;94%的患者在吞咽的咽部期出现变化。结果显示流口水量表评分与吞咽困难程度之间存在相关性(-0.426;p<0.05)。吞咽困难最严重的患者流口水情况也最严重。