脑卒中患者舌压力与吞咽困难的相关性研究

发布时间：2018-06-06 22:48

本文选题：吞咽困难 + 卒中　；参考：《中国现代医学杂志》2017年15期

【摘要】：目的分析在脑卒中吞咽困难患者中,舌压在口腔期吞咽运动不同方面的差异。方法回顾性分析60例脑卒中并吞咽困难患者其舌压和吞咽困难的关系。电视透视检查(VFSS)对吞咽功能行临床评估,爱荷华口腔行为仪检测舌压,记录嘴唇闭合压力(LP)、前硬颚舌压力(AP)、后硬颚舌压力(PP)、患侧颊舌压力(BW)及健侧颊舌压力(BH),每组数据测定3次取平均值。结果 AP和PP在嘴唇闭合充分组、食团形成充分组、口期时长正常组高于闭合不充分组、食团形成不充分组和口期延长组(P0.05),LP、BW及BH与嘴唇闭合程度、食团形成和口期时长无关(P0.05);LP、AP、PP、BW及BH在咀嚼正常组和舌腭接触紧密组均高于咀嚼不充分组和舌腭接触不紧密组(P0.05);AP、PP、BW、BH及LP降低与口腔期吞咽后食物残留量增加相关(P0.05)。结论舌压与脑卒中吞咽困难患者的口腔期吞咽功能尤其是食团形成、咀嚼、口腔残留量、舌腭接触紧密性及口期时长密切相关。
[Abstract]:Objective to analyze the difference of tongue pressure in oral swallowing motion in stroke patients with dysphagia. Methods the relationship between tongue pressure and dysphagia in 60 patients with stroke and dysphagia was analyzed retrospectively. VFSS was used to evaluate the swallowing function, and the tongue pressure was measured by Iowa oral behavior instrument. The lip closure pressure (LPU), the anterior hard jaw pressure (APP), the posterior hard jaw pressure (PPV), the affected buccal pressure (BW) and the healthy side buccal tongue pressure (BH) were recorded. The average values were measured 3 times in each group. Results AP and PP were found to be higher in the group with adequate lip closure, the group with sufficient food mass, the group with normal oral duration than the group with inadequate closure, and the group with insufficient food mass formation and the group with prolonged oral period (P0.05), and the degree of lip closure between BW and BH. PPBW and BH were significantly higher in normal masticatory group and close tongue-palate contact group than those in inadequate masticatory group and tongue-palate contact group (P0.05), and the decrease of LP was correlated with the increase of food residue after oral swallowing (P0.05). Conclusion tongue pressure is closely related to oral swallowing function in patients with dysphagia, especially the formation of food mass, chewing, oral residue, close contact between tongue and palate, and length of oral period.
【作者单位】：河南省郑州人民医院神经内科五病区;
【分类号】：R743.3

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