喉上升和下降期穿透与吸引的运动学评估。
Kinematic evaluation of penetration and aspiration in laryngeal elevating and descending periods.
作者信息
Kiyohara Hideyuki, Adachi Kazuo, Kikuchi Yoshikazu, Uchi Ryutaro, Sawatsubashi Motohiro, Nakagawa Takashi
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
出版信息
Laryngoscope. 2018 Apr;128(4):806-811. doi: 10.1002/lary.26844. Epub 2017 Sep 4.
OBJECTIVES
It is important to evaluate swallowing movements by dividing them into periods of laryngeal closure and release. The purpose of this study was to evaluate penetration-aspiration (PA) according to human pathophysiology and to identify the factors for predicting PA.
STUDY DESIGN
Case-control study.
METHODS
Eighty-one patients with complaints of dysphagia caused by various etiologies were enrolled in this study. Videofluoroscopic swallowing studies were conducted, and the spatial and temporal factors were analyzed by computer-assisted motion analysis.
RESULTS
The initiation of laryngeal vestibule closure in the laryngeal elevating period and its duration in the laryngeal descending period were significant factors for evaluating PA.
CONCLUSION
A knowledge of the delay of laryngeal vestibule closure in the laryngeal elevating period and its short duration in the laryngeal descending period could make it easier to evaluate the risk of PA.
LEVEL OF EVIDENCE
3b. Laryngoscope, 128:806-811, 2018.
目的
将吞咽动作分为喉关闭期和喉开放期来评估吞咽运动很重要。本研究的目的是根据人体病理生理学评估渗透-误吸（PA）情况，并确定预测PA的因素。
研究设计
病例对照研究。
方法
本研究纳入了81例因各种病因出现吞咽困难主诉的患者。进行了视频荧光吞咽造影研究，并通过计算机辅助运动分析对空间和时间因素进行了分析。
结果
喉抬高期喉前庭关闭的起始时间及其在喉下降期的持续时间是评估PA的重要因素。
结论
了解喉抬高期喉前庭关闭延迟及其在喉下降期持续时间较短的情况有助于更轻松地评估PA风险。
证据等级
3b。《喉镜》，2018年，第128卷，第806 - 811页。
Zotero 插件