Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males
Comparison of standardized bariums with varying rheological parameters on swallowing kinematics in males
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DOI：
10.1682/jrrd.2011.09.0180
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发表时间：
2012-01-01
影响因子：
--
通讯作者：
Robbins, JoAnne
中科院分区：
文献类型：
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作者：
Hind, Jacqueline;Divyak, Elizabeth;Robbins, JoAnne
这项研究测量了一系列商业上可获得的用于口咽吞咽评估的商业液体钡材料的剂量-反应，特别是当它们与为了吞咽安全而添加增稠剂的必要性有关时。代表各种医学诊断的25名成年男性同意参加，其中16人有资格完成视频透视吞咽评估，使用三种粘度的液体钡材料(花蜜：300cp，稀蜜：1500 cp，浓蜂蜜：3000 cp)。结果测量包括呼吸道侵入(穿透-吸入评分)、吞咽后残留物和患者偏好。薄蜂蜜和厚蜂蜜之间的渗透-吸入和残留物分数没有显著差异。与两种水平的蜂蜜丸组相比，服用花蜜丸的患者明显更严重的呼吸道侵袭(p<；0.001)。在口腔(p<；0.002)和山谷(p<；0.001)中观察到明显更多的残留物，无论是薄的还是厚的蜂蜜钡都比花蜜钡多。67%的受试者认为淡蜂蜜“容易”或“一般”，而浓蜂蜜的这一比例为54%。这项研究支持在视频透视吞咽评估中使用薄蜂蜜钡而不是厚蜂蜜钡，因为在呼吸道保护和口咽部吞咽后残留方面，两个蜂蜜罐具有可比性，而且患者更喜欢薄蜂蜜。
This study measured dose-response of a range of commercially available liquid barium materials designed for use in videofluoroscopic oropharyngeal swallowing assessments, particularly as they relate to the necessity of adding a thickening agent for swallow safety. A group of 25 adult males representing various medical diagnoses consented to participate, with 16 qualifying to complete a videofluoroscopic swallowing assessment with liquid barium materials of three viscosities (nectar: 300 cP, thin honey: 1,500 cP, thick honey: 3,000 cP). Outcome measures included airway invasion (Penetration-Aspiration score), postswallow residue, and patient preference. Penetration-Aspiration and residue scores did not significantly differ between thin honey and thick honey bariums. Significantly more severe airway invasion was observed with nectar boluses than with two levels of honey boluses (p < 0.001). Significantly more residue was observed in the oral cavity (p < 0.002) and valleculae (p < 0.001) with thin and thick honey bariums than with nectar barium. Thin honey was rated as "easy" or "average" to drink by 67% of subjects, compared with 54% for thick honey. This study supports the use of thin honey barium over thick honey barium during videofluoroscopic swallowing assessments because the two honey bariurns were comparable in terms of airway protection and postswallow residue in the oropharynx and the thin honey was preferred by patients.