Laryngeal function in postpolio patients
Laryngeal function in postpolio patients
复制标题
脊髓灰质炎后患者的喉功能
DOI：
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发表时间：
1995
期刊：
影响因子：
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通讯作者：
K. Oshima
中科院分区：
文献类型：
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作者：
B. Driscoll;C. Gracco;Elizabeth Tierney;C. Sasaki;Carl D. Coelho;Jonathan Goldstein;K. Oshima
在25万脊髓灰质炎疫情的幸存者中，大约25%的人经历了进行性肌肉无力，称为脊髓灰质炎后综合征(PPS)。脊髓灰质炎后患者的喉功能以前没有研究过。本文提供了一组脊髓灰质炎后患者的喉部功能的详细数据，这些患者曾因吞咽主诉而接受评估。9名患者接受了全面的病史和体格检查、声学嗓音分析和喉部电视频闪内窥镜检查。3例患者行喉肌电(EMG)检查。结果显示，所有受试者都有不同程度的发音或喉音缺陷。吞咽困难的受试者也表现出声带麻痹。肌电显示募集减少，波幅增加，这与脊髓灰质炎患者骨骼肌的肌电研究结果一致。结果表明，小儿麻痹症后主诉吞咽困难的患者有患喉部病变的风险。
Of the 250,000 survivors of the polio epidemics, approximately 25% experience progressive muscle weakness known as postpolio syndrome (PPS). Laryngeal function in postpolio patients previously has not been studied. This paper presents data detailing laryngeal function in a group of postpolio patients who had been evaluated for swallowing complaints. Nine patients underwent comprehensive history and physical exam, acoustical voice analysis, and laryngeal videostroboscopic endoscopy. Three patients underwent laryngeal electromyography (EMG) evaluation. Results indicated some degree of phonatory or laryngeal deficit in all subjects. Subjects with dysphagia also demonstrated vocal fold paralysis. EMG revealed decreased recruitment and increased amplitude, findings consistent with EMG studies in skeletal muscle in postpolio patients. Results suggest that postpolio patients who complain of swallowing difficulties are at risk for laryngeal pathology.