Study on diagnosis and treatment for patients with swallowing difficulty

吞咽困难伴频繁误吸与随后发生肺炎的风险增加相关。老年人吸入性肺炎可能是由于吞咽功能下降所致。本研究的目的是，首先，探讨超声诊断系统评估吞咽功能的可能性，其次，讨论包括全口义齿在内的口腔修复器具改善吞咽功能的有效性。根据知情同意，选择全齿男性作为研究对象。采用通用超声诊断系统观察并记录舌动及吞咽音。用数字化仪绘制舌动曲线的5个拐点（T1、T2、T3、T4和T5）和吞咽音的2个起点（S1和S2），分析舌动和吞咽音。试验食品是通过溶解Mouse Up^R （food Care Ltd.）制成的。日本)6克加入30毫升水中。统计分析采用单因素方差分析（ANOVA）和Duncan检验。本研究包括七个次要主题。他们是这样的。1. 舌丸运动与吞咽声音的关系。2. 超声诊断与显像检查吞咽功能的比较。3. 超声诊断系统评价的有效性。4. 腭板对吞咽功能的影响。5. 垂直尺寸对吞咽功能的影响。6. 假体对吞咽功能的影响。7. 义齿置入对吞咽功能的影响。本研究提示，超声诊断系统的分析方法可与显像法一样用于吞咽功能的评估。腭板厚度、垂向尺寸对吞咽功能也有影响。最后，我们认为无牙患者和/或颌骨缺陷患者的义齿植入可以有效改善吞咽功能。少

Dysphagia with frequent aspiration is associated with an increased risk for subsequent pneumonia. Aspiration pneumonia in the elderly may be caused by a decrease in the swallowing function. The aim of this study was, first, to discuss the possibility of using ultrasound diagnostic system for the evaluation of swallowing function, second, to discuss the validity of the interoral prosthodontic appliances including complete dentures for improvements of swallowing dysfunction.Following informed consent, fully dentate males were selected as subjects. Tongue movements and swallowing sounds were observed and recorded using general-purpose ultrasound diagnostic system. Tongue movement and swallowing sounds were analyzed by plotting five inflection points (T1, T2, T3, T4 and T5) of the tongue movement curve and two beginning points of swallowing sounds (S1 and S2) using a digitizer. The test food was made by dissolving Mouse Up^R (Food Care Ltd. Japan) of 6 g into 30ml water. Statistical analys … More is was performed by one-way analysis of variance (ANOVA) and the Duncan test.Seven minor themes were included in this research. They were as follows. 1. Relationship between bolus movement by tongue and swallowing sounds. 2. Comparison between swallowing function by the ultrasound diagnostic system and the videofluorography. 3. Validity of evaluation using the ultrasound diagnostic system. 4. Influence of palatal plate on swallowing function. 5. Influence of vertical dimension on swallowing function. 6. Influence of prosthesis on swallowing function. 7. Influence of denture insertion on swallowing function.From this study, it was suggested that the analyzing method by the ultrasound diagnostic system could be useful for evaluating swallowing function as same as videofluorography. It was also suggested that the thickness of the palatal plate, vertical dimension and influenced on swallowing function. Finally, it was suggested that the denture insertion for edentulous patients and/or defected jaw patient is effective in the improvement of swallowing function. Less