Nilsson H, Ekberg O, Hindfelt B
Department of Neurology, University of Lund, Malmö General Hospital, Sweden.
Dysphagia. 1995 Spring;10(2):93-100. doi: 10.1007/BF00440078.
Disturbances in swallowing are common in neurologic disease but difficult to evaluate in the clinical setting. Fundamental variables such as bolus volume, swallow capacity (volume ingested over time), and the relation between ingestion and time for important events in oral and pharyngeal swallowing have not been sufficiently studied. We therefore employed a composite method for monitoring oral and pharyngeal swallowing function: the test of Repetitive Oral Suction Swallow (the ROSS test). The technical details are described as well as preliminary results from a pilot study of 20 healthy subjects and 5 patients with neurologic swallowing impairment. The correlation with respect to time sequences for major events in bolus ingestion and oral processing as monitored by the ROSS test and by videoradiography is explained. With this simple and rapid bedside test, the immediate and long-time result of therapeutic interventions in dysphagic patients may be monitored.
吞咽障碍在神经系统疾病中很常见，但在临床环境中难以评估。诸如食团体积、吞咽能力（随时间摄入的体积）以及口腔和咽部吞咽重要事件的摄入与时间之间的关系等基本变量尚未得到充分研究。因此，我们采用了一种综合方法来监测口腔和咽部吞咽功能：重复性口腔吸允吞咽测试（ROSS测试）。文中描述了该测试的技术细节以及对20名健康受试者和5名患有神经源性吞咽障碍患者的初步研究结果。解释了ROSS测试和视频荧光造影监测的食团摄入和口腔处理主要事件的时间序列相关性。通过这种简单快速的床边测试，可以监测吞咽困难患者治疗干预的即时和长期效果。
