Study on diagnosis and treatment for patients with swallowing difficulty

吞咽困难和频繁的吸入与随后肺炎的风险增加有关。老年人吸入性肺炎可能是吞咽功能下降所致。本研究的目的是，首先探讨超声诊断系统用于评价吞咽功能的可能性，其次探讨包括全口义齿在内的口腔间矫治器对改善吞咽功能障碍的有效性。用通用超声诊断系统观察和记录舌动和吞咽声。用数字化仪绘制舌动曲线的5个拐点(T1、T2、T3、T4、T5)和吞咽音的两个起点(S1、S2)，分析舌动和吞咽音。试验食品是将6g的Mouse Up^R(日本食品护理有限公司)溶于30毫升水中制成的。统计分析…采用单因素方差分析(ANOVA)和邓肯检验进行多因素分析。它们如下所示。1.舌丸运动与吞咽声的关系。2.超声诊断系统与电视透视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.义齿植入对吞咽功能的影响本研究表明，超声诊断系统的分析方法可用于评价义齿的吞咽功能。提示腭板厚度、垂直度和吞咽功能对吞咽功能有影响。提示无牙颌患者和(或)颌骨缺损者的义齿植入能有效地改善患者的吞咽功能。较少

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