The Relationship Between Tongue Pressure and Oral Dysphagia in Stroke Patients.
The Relationship Between Tongue Pressure and Oral Dysphagia in Stroke Patients.
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中风患者的舌压和口服吞咽困难之间的关系。
DOI：
10.5535/arm.2016.40.4.620
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发表时间：
2016-08
期刊：
影响因子：
--
通讯作者：
Soh Y
中科院分区：
文献类型：
--
作者：
Lee JH;Kim HS;Yun DH;Chon J;Han YJ;Yoo SD;Kim DH;Lee SA;Joo HI;Park JS;Kim JC;Soh Y
探讨舌压与口相吞咽功能各方面的关系。我们纳入了96例伴有吞咽困难的脑卒中患者，年龄从40岁到88岁不等（平均63.7岁）。舌压的测量是用爱荷华州口腔性能仪器获得的，该仪器具有已建立的标准数据。对嘴唇闭合压力（LP）、前硬腭-舌压力（AP）和后硬腭-舌压力（PP）进行了三次最大性能试验;还记录了两侧的颊-舌压力（颊-舌压力，弱侧[BW];颊-舌压力，健康侧[BH]）。比较各组间各结果的平均压力。吞咽功能的临床评价进行了电视透视吞咽研究。完整LC组的平均最大AP和PP值显著高于唇闭合不充分组（AP，p=0.003; PP，p<0.001）。AP和PP显示与食团形成（BF）、咀嚼、食团过早丢失（PBL）、舌腭接触（TP）和口腔通过时间（OTT）显著相关。此外，LP，BW和BH值在咀嚼完整，无PBL和完整TP的组中显著较高。提示舌压与脑卒中患者口相吞咽功能密切相关，尤其是BF、咀嚼、PBL、TP和OTT。
To evaluate the relationships between tongue pressure and different aspects of the oral-phase swallowing function. We included 96 stroke patients with dysphagia, ranging in age from 40 to 88 years (mean, 63.7 years). Measurements of tongue pressure were obtained with the Iowa Oral Performance Instrument, a device with established normative data. Three trials of maximum performance were performed for lip closure pressure (LP), anterior hard palate-to-tongue pressure (AP), and posterior hard palate-to-tongue pressure (PP); buccal-to-tongue pressures on both sides were also recorded (buccal-to-tongue pressure, on the weak side [BW]; buccal-to-tongue pressure, on the healthy side [BH]). The average pressure in each result was compared between the groups. Clinical evaluation of the swallowing function was performed with a videofluoroscopic swallowing study. The average maximum AP and PP values in the intact LC group were significantly higher than those in the inadequate lip closure group (AP, p=0.003; PP, p<0.001). AP and PP showed significant relationships with bolus formation (BF), mastication, premature bolus loss (PBL), tongue to palate contact (TP), and oral transit time (OTT). Furthermore, LP, BW, and BH values were significantly higher in the groups with intact mastication, without PBL and intact TP. These findings indicate that the tongue pressure appears to be closely related to the oral-phase swallowing function in post-stroke patients, especially BF, mastication, PBL, TP and OTT.