EFFECTS OF POSTURAL CHANGE ON ASPIRATION IN HEAD AND NECK SURGICAL PATIENTS
EFFECTS OF POSTURAL CHANGE ON ASPIRATION IN HEAD AND NECK SURGICAL PATIENTS
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DOI：
10.1177/019459989411000212
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发表时间：
1994-02-01
影响因子：
3.4
通讯作者：
KAHRILAS, PJ
中科院分区：
文献类型：
--
作者：
LOGEMANN, JA;RADEMAKER, AW;KAHRILAS, PJ
本研究旨在明确头颈部手术患者口咽吞咽视频透视检查中体位改变对液体吸入的影响。32名患者被给予两口五种不同耐受量的液体钡。当吸入发生时，患者的头部和/或身体位置被改变，新的姿势取决于被确定为吸入原因的吞咽障碍。体位技术在81%的患者中成功地消除了对至少一体积液体的吸入。所有手术组的患者都能同样成功地使用体位。在每种类型的外科患者中使用了不同的体位，这表明这些患者表现出各种吞咽问题。结果强调在口咽吞咽的放射学研究中引入体位技术的重要性，以促进安全的口腔液体摄取。
This study was designed to define the effects of postural change on liquid aspiration during videofluorographic examination of oropharyngeal swallow in head and neck surgical patients. Thirty-two patients were given two swallows of five different amounts of liquid barium as tolerated. When aspiration occurred, the patient's head and/or body position was changed, new posture being determined by the swallowing disorder identified as the cause of the aspiration. Postural techniques were successful in eliminating aspiration on at least one volume of liquid in 81% of these patients. Patients in all surgical groups were able to use postures with equal success. A variety of positions were used in each type of surgical patient, indicating that these patients exhibited a variety of swallowing problems. Results emphasize the importance of introducing postural techniques during the radiographic study of oropharyngeal swallow to facilitate safe oral intake of liquids.