舌骨运动与食管上括约肌开放程度的相关性研究

发布时间：2018-08-16 19:41

【摘要】：目的:探讨年龄对吞咽过程中舌骨运动及食管上括约肌(UES)开放程度的影响,并进一步研究舌骨运动与UES开放程度的相关性。方法:对20~74岁的100例健康成人志愿者行X线动态吞咽造影检查,并按年龄分为青年组(45岁)、中年组(45~65岁)、老年组(65岁)。然后通过Avidemux 2.5计时软件及Image J图像测量软件测量计算在吞咽过程中舌骨运动的时间、移动距离及UES最大开放程度。结果:在100例志愿者中,舌骨从静止位置运动到最大位移处所用的时间随着年龄的增加逐渐延长,青年组、中年组、老年组之间差异有统计学意义(P0.05);舌骨在最大位移处停留的时间随着年龄的增加逐渐缩短,青年组与老年组之间、中年组与老年组之间差异有统计学意义(P0.05);舌骨前移的距离随着年龄的增加逐渐减小,青年组分别与中年组和老年组比较差异均有统计学意义(P0.05);UES最大开放程度随着年龄的增加而减小,且青年组与老年组之间差异有统计学意义(P0.05)。UES开放程度与舌骨上移幅度在3组间均无相关性(P0.05),而UES开放程度与舌骨前移幅度在不同年龄段均显著相关(P0.05)。结论:吞咽中舌骨运动的时间和空间的相关参数以及UES的最大开放程度在不同年龄组存在差异,舌骨前移和UES开放显著相关(P0.05)。
[Abstract]:Objective: to investigate the effect of age on hyoid movement and (UES) opening of upper esophageal sphincter during swallowing, and to study the correlation between hyoid motion and UES openness. Methods: 100 healthy adult volunteers aged 20 to 74 years were examined by X-ray dynamic swallowing angiography and were divided into youth group (45 years old), middle age group (45 to 65 years old) and elderly group (65 years old). Then the hyoid movement time, distance and maximum opening degree of UES were calculated by Avidemux 2.5 timing software and Image J image measurement software. Results: in 100 volunteers, the time used to move the hyoid from static position to maximum displacement was prolonged with the increase of age, the youth group, the middle age group, the young group, the middle age group, There was a significant difference between the old group (P0.05); the hyoid at the maximum displacement of the time gradually shortened with the increase of age, between the young group and the elderly group, There was significant difference between the middle age group and the old group (P0.05), the distance of hyoid anterior movement gradually decreased with the increase of age. There were significant differences between the young group and the middle age group and the old group (P0.05) the maximum open degree of UES decreased with the increase of age. The difference between the young group and the old group was statistically significant (P0.05). There was no correlation between the opening degree of UES and the hyoid bone movement (P0.05), while the opening degree of UES was significantly correlated with the hyoid anterior movement in different age groups (P0.05). Conclusion: the time and space parameters of hyoid movement and the maximum opening degree of UES in swallowing were different in different age groups. Hyoid anterior movement was significantly correlated with UES opening (P0.05).
【作者单位】：南方医科大学第三临床医学院;海军总医院全军耳鼻咽喉头颈外科中心;
【分类号】：R333.1

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