Effect of Gender on Swallow Event Duration Assessed by Videofluoroscopy

Effect of Gender on Swallow Event Duration Assessed by Videofluoroscopy
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DOI:
10.1007/s00455-008-9202-z
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发表时间:
2009-09-01
期刊:
影响因子:
2.6
通讯作者:
Mazin, Suleimy Cristina
Mazin, Suleimy Cristina
中科院分区:
医学3区
文献类型:
--
作者:
Dantas, Roberto Oliveira;Cassiani, Rachel de Aguiar;Mazin, Suleimy Cristina

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有数据表明,女性吞咽液体的流速较低,每次吞咽的量也比男性少。在这项工作中,我们的目的是通过显像透视比较无症状男性和女性的吞咽。我们研究了18名男性[年龄= 33-77岁,平均= 61(10)岁]和12名女性[年龄= 29-72岁,平均= 53(15)岁],他们分别吞下5和10 ml的液体和糊状钡丸。没有志愿者患有吞咽困难、神经系统疾病、口腔、咽部或食道疾病。x线镜检查显示,5ml丸,女性有较长的口咽传输时间[液体:男性0.63 (0.21)s,女性0.88 (0.39)s;浆液:男性0.64 (0.35)s,女性0.94 (0.58)s],较长口服液:男性0.41 (0.21)s,女性0.59 (0.35)s;浆液:男性,0.39(0.28)秒,女性,0.59(0.42)秒],咽清液:男性,0.36(0.11)秒,女性,0.45(0.16)秒;贴:男性0.42 (0.25)s,女性0.56 (0.27)s],与男性比较(p < 0.05)。我们得出的结论是,男性和女性在吞咽方面存在差异,女性在5毫升的剂量下比男性有更长的口咽通道。
There are data suggesting that women swallow liquids at a lower flow rate and ingest smaller volumes in each swallow than men. Our objective in this work was to compare swallowing in asymptomatic men and women by videofluoroscopy. We studied 18 men [age = 33-77 years, mean = 61 (10) years] and 12 women [age = 29-72 years, mean = 53 (15) years] who swallowed in duplicate 5 and 10 ml of liquid and paste barium boluses. None of the volunteers had dysphagia, neurologic diseases, or oral, pharyngeal, or esophageal diseases. The videofluoroscopic examination showed that for the 5-ml bolus, women had a longer oropharyngeal transit [liquid: men, 0.63 (0.21) s, women, 0.88 (0.39) s; paste: men, 0.64 (0.35) s, women, 0.94 (0.58) s], longer oral transit [liquid: men, 0.41 (0.21) s, women, 0.59 (0.35) s; paste: men, 0.39 (0.28) s, women, 0.59 (0.42) s], and longer pharyngeal clearance [liquid: men, 0.36 (0.11) s, women, 0.45 (0.16) s; paste: men, 0.42 (0.25) s, women, 0.56 (0.27) s] compared with men (p < 0.05). We conclude that there are differences in swallowing between men and women, with women having a longer oropharyngeal transit than men for a 5-ml bolus.