Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia
Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia
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DOI：
10.2214/ajr.180.6.1801613
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发表时间：
2003-06-01
影响因子：
5
通讯作者：
Gefter, WB
中科院分区：
文献类型：
--
作者：
Pikus, L;Levine, MS;Gefter, WB
客观的。我们研究的目的是确定在大量患者中观察到的吞咽功能障碍程度与发生肺炎的可能性之间的关系。材料和方法。根据 381 名患者的电视透视吞咽研究结果，将这些患者分为五组之一：正常组。吞咽；吞咽异常但无喉穿透或气管支气管误吸者；具有喉部穿透力的；进行气管支气管抽吸者；一个。进行无声气管支气管抽吸。还审查了临床数据，以确定在钡剂研究之前或之后的 6 个月内有多少患者出现肺炎。然后对数据进行分析，以确定患肺炎的风险是否随着钡剂研究中观察到的吞咽功能障碍的每个级别而显着增加。结果。钡剂研究发现，吞咽异常但无喉穿透或气管支气管误吸的患者与吞咽正常的患者相比，肺炎发生率没有显着差异（p=0.85）。相比之下，发生喉部穿透、气管支气管误吸或无声气管支气管误吸的患者分别约为 4 倍 (p=0.008)、10 倍 (p
Objective. The purpose of our investigation was to determine the relationship between the degree of swallowing dysfunction observed on barium studies and the likelihood of developing pneumonia in a large series of patients.Materials and Methods. The findings on videofluoroscopic swallowing studies in 381 patients were used to classify these patients into one of five groups: those with normal. swallowing; those with abnormal swallowing but no laryngeal penetration or tracheobronchial aspiration; those with laryngeal penetration; those with tracheobronchial aspiration; an. with silent tracheobronchial aspiration. Clinical data were also reviewed to determine how many patients had developed pneumonia during the 6 months before or after the barium studies. The data were then analyzed to determine whether the risk of developing pneumonia increased significantly with each level of swallowing dysfunction seen on barium studies.Results. No significant difference was found in the frequency of pneumonia in patients with abnormal swallowing but no laryngeal penetration or tracheobronchial aspiration compared with patients with normal swallowing on barium studies (p=0.85). In contrast, patients with laryngeal penetration, tracheobronchial aspiration, or silent tracheobronchial aspiration were approximately four times (p=0.008), 10 times (p