[Effects of wearing complete dentures on swallowing in the elderly].
[Effects of wearing complete dentures on swallowing in the elderly].
复制标题
佩戴全口义齿对老年人吞咽的影响[J].
DOI：
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
J. Furuya
中科院分区：
文献类型：
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作者：
J. Furuya
本研究的目的是评估佩戴全口义齿对老年人吞咽的影响。研究人员对 16 名非吞咽障碍无牙颌志愿者（平均年龄：75.0 岁）进行了二腹肌和咬肌前腹表面肌电图、舌头对硬腭的压力以及喉部运动的研究。受试者在戴上下假牙、不戴下假牙、不戴上假牙、不戴上下假牙四种情况下吞咽2ml水。规定采用北斗式吞咽。使用重复测量方差分析进行统计分析。在没有上义齿或下义齿以及没有双侧义齿的情况下，总吞咽持续时间和直到喉部抬高的潜伏期显着延长（p < 0.05）。没有下颌义齿的患者比没有上颌义齿和没有双侧义齿的患者显着较短 (p < 0.05)。与其他组相比，不戴上颌义齿以及不戴双托义齿时，准备阶段的持续时间显着延长（p < 0.05）。与佩戴两副假牙的持续时间相比，不佩戴上颌假牙和不佩戴两副假牙的口腔阶段持续时间显着延长（p < 0.05）。无论有没有假牙，咽阶段都没有变化。总吞咽时间的延长是由于准备阶段和口腔阶段的延长。吞咽时间延长会影响吞咽的口咽协调性，并且随着年龄的增长会加剧吞咽功能的抑制。这些结果表明，佩戴全口义齿有助于维持老年人吞咽的生理过程。
The purpose of this study was to evaluate effects of wearing complete dentures on swallowing in the elderly. Sixteen nondysphagic edentulous volunteers (mean age: 75.0 yrs) were studied in terms of surface electromyography of the anterior belly of digastrics and masseter muscles, tongue pressure toward the hard palate, and the laryngeal movement. The subjects swallowed 2 ml water under four conditions, with upper and lower dentures, without lower denture, without upper denture, and without upper and lower dentures. Dipper-type of swallowing was prescribed. A repeated-measures ANOVA was used for statistical analysis. Total swallowing duration and the latent period until laryngeal elevation were significantly prolonged without upper or lower denture, and without both dentures (p < 0.05). They were significantly shorter without lower denture than those without upper denture, and without both dentures (p < 0.05). Duration of the preparatory stage was significantly prolonged without upper denture, and without both dentures comparing with the others (p < 0.05). Duration of the oral stage was significantly prolonged without upper denture, and without both dentures comparing with the duration with both dentures (p < 0.05). There were no changes in the pharyngeal stage with or without dentures. The prolongation of total swallowing duration was due to the prolongation of the preparatory and oral stages. The prolongation of swallowing would affect the oral-pharyngeal coordination of swallowing, and exacerbate the depression of swallowing functions with aging. These results suggested that wearing complete dentures contributes to maintain physiological procedure of swallowing in the elderly.
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影响因子：
5
作者：
DODDS, WJ;MAN, KM;KERN, MK
通讯作者：
KERN, MK
影响因子：
29.4
作者：
KAHRILAS, PJ;LIN, SZ;FACCHINI, F
通讯作者：
FACCHINI, F
影响因子：
--
作者：
DANTAS, RO;KERN, MK;LANG, IM
通讯作者：
LANG, IM
影响因子：
29.4
作者：
ROBBINS, J;HAMILTON, JW;KEMPSTER, GB
通讯作者：
KEMPSTER, GB