Differentiation of normal and abnormal airway protection during swallowing using the penetration-aspiration scale
Differentiation of normal and abnormal airway protection during swallowing using the penetration-aspiration scale
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DOI：
10.1007/pl00009610
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发表时间：
1999-09-01
期刊：
影响因子：
2.6
通讯作者：
Wood, J
中科院分区：
文献类型：
--
作者：
Robbins, J;Coyle, J;Wood, J
进食或饮水时食物或液体意外进入气道可能是吞咽困难最具临床意义的后果。虽然吞咽的视频荧光镜记录是目前识别和确定误吸补救措施的金标准，但结果通常以描述性术语描述，因此限制了信息并导致解释错误。我们先前发表了一个8点量表，以量化气道侵入的渗透和抽吸输送深度的选定方面以及进入气道的物质是否被排出（Rosenbek等人，1996，Dysphagia 11：93-98）。本研究确定了不同性别和年龄的健康正常人的渗透-抽吸量表得分的分布。该量表还用于两组已知患有与中风或头颈癌相关的严重吞咽困难的患者。组间的显着差异进行了讨论。
Accidental loss of food or liquids into the airway while eating or drinking is perhaps the most clinically significant consequence of dysphagia. Although videofluoroscopic recording of swallowing is the current gold standard for identifying and determining remediation for aspiration, results are generally described in descriptive terms, thus limiting information and lending to errors of interpretation. We previously published an 8-point scale to quantitate selected aspects of penetration and aspiration conveying depth of airway invasion and whether or not material entering the airway is expelled (Rosenbek et al., 1996, Dysphagia 11:93-98). The present study defines the distribution of the Penetration-Aspiration Scale scores in healthy normal subjects of different genders and ages. The scale was also used with two groups of patients known to have significant dysphagia relative to stroke or head and neck cancer. Significant differences found among groups are discussed.