Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
Department of Department of Reproductive Medicine, Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.
J Ultrasound Med. 2024 Mar;43(3):501-511. doi: 10.1002/jum.16381. Epub 2023 Nov 27.
To investigate the correlation between ultrasonic measurements of swallowing movement parameters and aggravation of swallowing dysfunction in patients with chronic obstructive pulmonary disease (COPD).
COPD patients with swallowing dysfunction (n = 120) and COPD patients with normal swallowing function (n = 100) treated in our hospital between January 2020 and January 2023 were included in observation and control groups, respectively. The correlation between ultrasonic measurements of swallowing movement parameters and COPD with swallowing dysfunction was analyzed. The observation group was divided into mild and severe groups according to their Gugging Swallowing Screen (GUSS) scores. The correlation between ultrasonic measurements of swallowing movement parameters and COPD exacerbation combined with swallowing dysfunction was analyzed.
In the observation group, Hyoid muscle thickness, hyoid bone displacement, geniohyoid muscle movement distance, HLAS, and CSR were lower compared to the control group, negatively associated with COPD-related swallowing issues. Conversely, geniohyoid muscle movement time and minimum hyohyoid distance (NHLA) were higher in the observation group, positively correlated with COPD-related swallowing dysfunction. In COPD patients with swallowing problems, the severe group exhibited lower values for lingual muscle thickness, hyoid bone displacement, geniohyoid muscle movement distance, HLAS, and CSR compared to the mild group, while geniohyoid muscle movement time and NHLA were higher in the severe group. Receiver operating characteristic (ROC) curves were created, indicating the promising diagnostic utility of these parameters for assessing the presence and severity of swallowing dysfunction in COPD patients.
The ultrasonic measurement of swallowing motion parameters can effectively assess swallowing dysfunction in COPD patients.
探讨慢性阻塞性肺疾病（COPD）患者吞咽运动参数的超声测量与吞咽功能恶化的相关性。
选取我院 2020 年 1 月至 2023 年 1 月收治的吞咽功能障碍的 COPD 患者（观察组，n=120）和吞咽功能正常的 COPD 患者（对照组，n=100），分析超声测量吞咽运动参数与 COPD 患者吞咽功能障碍的相关性，观察组根据 Gugging 吞咽屏（GUSS）评分分为轻度和重度两组，分析超声测量吞咽运动参数与 COPD 加重合并吞咽功能障碍的相关性。
观察组的舌骨厚度、舌骨位移、颏舌肌运动距离、HLAS 和 CSR 均低于对照组，与 COPD 相关的吞咽问题呈负相关；相反，观察组的颏舌肌运动时间和最小舌骨下距离（NHLA）较高，与 COPD 相关的吞咽功能障碍呈正相关。在有吞咽问题的 COPD 患者中，重度组的舌肌厚度、舌骨位移、颏舌肌运动距离、HLAS 和 CSR 均低于轻度组，而重度组的颏舌肌运动时间和 NHLA 较高。绘制受试者工作特征（ROC）曲线，表明这些参数对评估 COPD 患者吞咽功能障碍的存在和严重程度具有较好的诊断价值。
吞咽运动参数的超声测量可有效评估 COPD 患者的吞咽功能障碍。
