Age and volume effects on liquid swallowing function in normal women

Age and volume effects on liquid swallowing function in normal women
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DOI:
10.1044/jslhr.4102.275
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发表时间:
1998-04-01
影响因子:
2.6
通讯作者:
Logemann, JA
Logemann, JA
中科院分区:
医学2区
文献类型:
--
作者:
Rademaker, AW;Pauloski, BR;Logemann, JA

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了解没有吞咽问题的人的吞咽性质是评估吞咽障碍的性质和程度的先决条件。为了确定女性吞咽功能如何随年龄和液体团量而变化,我们对167名正常女性吞咽者进行了电视透视检查,并获得了吞咽功能的多项指标。这项研究中的女性表现出吞咽功能随年龄的变化,主要与咽部传输和运动反应总持续时间的增加有关。上呼吸消化道瓣膜关闭和打开的持续时间也随着年龄的增长而增加,喉抬高和舌骨运动的持续时间在60-79岁年龄组达到峰值。大剂量体积效应在大多数测量中相当一致。随着大剂量体积从1 ml增加到10 ml,通过时间缩短,阀门关闭和打开的持续时间增加。本研究的结果可用于说明女性吞咽功能与年龄和液体丸剂体积的关系,迄今为止仅在较小和更异质的人群中部分观察到这种关系。
Understanding the nature of swallowing in persons without swallowing problems is a prerequisite to evaluating the nature and extent of dysphagia in persons with compromised swallowing. In order to determine how swallowing varies with age and with liquid bolus volume in women, we assessed 167 normal female swallowers videofluoroscopically and obtained multiple measures of swallowing Function. The women in this study demonstrated a change in swallowing Function with age, duel primarily to an increase in pharyngeal transit and total duration of the motor response. The duration of closure and opening of valves in the upper aerodigestive tract also increased with age, and the duration of laryngeal elevation and hyoid movement peaked in the 60-79-year-old age groups. Bolus volume effects were quite consistent across most measures. As the bolus volume increased From 1 ml to 10 ml, transit times decreased and durations of valve closure and opening increased. The results of this study may be used to specify the relationship of swallowing function to age and liquid bolus volume in women, relationships that heretofore have been observed only in part and in smaller and more heterogeneous populations.