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全口义齿佩戴对吞咽时间的影响:一项电影磁共振成像研究。

Effect of complete denture wearing on deglutition time: a cine-magnetic resonance imaging study.

机构信息

Beytepe Military Hospital, Dental Service, Golbasi, Turkey.

出版信息

J Oral Rehabil. 2012 Mar;39(3):198-209. doi: 10.1111/j.1365-2842.2011.02272.x. Epub 2011 Dec 9.

Abstract

Purpose of the study was to evaluate the effect of complete denture wearing on deglutition time (DT), hyoid bone and larynx movements in edentulous patients with real-time balanced turbo field echo cine-magnetic resonance imaging. Subjects were examined by cine-magnetic resonance imaging in supine position during swallowing water. Two sets of images for 23 edentulous (with/without wearing complete dentures) and one for 23 dentulous patients were obtained. Radiographic outputs representing three consecutive deglutition stages (oral, pharyngeal and oesophageal) were provided to perform measurements. Deglutition time significantly increased when edentulous patients wore their dentures (mean 0·75 s increased to 1·17 s), whereas dentulous patients' DT was about 0·91 s (P ≤ 0.05). The duration of deglutition is crucial because prolonged pharyngeal transit times increases the risk of aspiration. Within the limitations of the study, complete denture wearing could increase the shortened DT of the edentulous patients.

摘要

本研究的目的是通过实时平衡涡轮场回波电影磁共振成像评估全口义齿佩戴对无牙患者吞咽时间(DT)、舌骨和喉运动的影响。在吞咽水时,受试者取仰卧位进行磁共振电影成像检查。获得 23 名无牙(佩戴/不佩戴全口义齿)和 23 名有牙患者的两组图像。提供代表三个连续吞咽阶段(口腔、咽和食管)的射线照相输出以进行测量。当无牙患者佩戴义齿时,吞咽时间明显延长(平均增加 0.75 秒至 1.17 秒),而有牙患者的 DT 约为 0.91 秒(P ≤ 0.05)。吞咽时间的持续时间很关键,因为延长的咽通过时间会增加吸入的风险。在本研究的限制范围内,全口义齿佩戴可以增加无牙患者缩短的 DT。

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