NEW DEVELOPMENT OF ASSESSMENT AND MANAGEMENT FOR SPEECH, MASTICATION AND SWALLOING DISORDERS

言语、咀嚼和吞咽障碍评估和管理的新进展

• 批准号: 08407067
• 负责人: MICHI Ken-ichi
• 金额: $ 12.86万
• 依托单位: Showa University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (A)
• 财政年份: 1996
• 资助国家: 日本
• 起止时间: 1996 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08407067/
• 关键词: VIDEOFLUOROGRAPHY; SPEECH DISORDERS; SWALLOWING DISORDERS; TEXTURE OF FOOD; NEAR-INFRARED LIGHT; 誤嚥診断; 摂食・嚥下障害; 検査食; ケアアセスメント票; 嚥下検査用試薬; X線造視ビデオ法; 舌圧センサー; 要介護度認定; 口腔癌; 再建手術; 咀嚼機能; 構音機能

1) New equipment for detecting aspiration pneumoniaA experimental study was performed to develop a new diagnostic equipment with light emitted diode (LED). The new system used 9 LEDs with 880nm of wavelength, 900mA of light source and photo diode (PD), including Indocyanine green as dye solution. The Indocyanine solution diluted 20 times than usual was also useful to reduce the electric intensity at the PD. Further improvement of combination of LED and PD would enable to develop a new diagnostic aid for aspiration.2) Influence of hardness of food on dysphagiaTo clarify relationship between texture of the food and swallowing function, the influence of hardness of the test material on the severity of dysphagia was examined. Four test materials with different level of hardness were used for the study, which was made by mixture of agar and iopamidol. The subjects were 24 patients diagnosed as aspiration or penetration using videofluorography. As a result, the softest diet had significantly the highest risk of aspiration, while the hardest material had definitely safer than others. These results revealed that the hardness of diet affected the severity of dysphagia. To divide diets based on easiness of swallow would help patients with dysphagia to eat more safely and satisfactory.

1)新型吸入性肺炎诊断仪的研制对一种新型发光二极管（LED）诊断仪进行了实验研究。新系统使用9个波长为880 nm的LED，900 mA的光源和光电二极管（PD），包括吲哚菁绿色作为染料溶液。比通常稀释20倍的吲哚菁溶液也可用于降低PD处的电强度。进一步改进LED和PD的组合将能够开发新的吸气辅助诊断工具。2）食物硬度对吞咽困难的影响为了阐明食物质地和吞咽功能之间的关系，检查测试材料的硬度对吞咽困难的严重程度的影响。采用琼脂与碘帕醇混合制成四种不同硬度的试验材料。受试者为24名使用视频荧光造影诊断为抽吸或穿透的患者。因此，最软的饮食具有最高的误吸风险，而最硬的材料肯定比其他材料更安全。这些结果表明，饮食的硬度影响吞咽困难的严重程度。根据吞咽的容易程度来划分饮食，将有助于吞咽困难患者吃得更安全、更满意。

项目成果

道脇幸博 他: "中枢性口腔機能障害の歯科医学的治療に関する臨床的研究" 日本歯科医学会雑誌.

Yukihiro Michiwaki等人：“中枢性口腔功能障碍的牙科治疗的临床研究”日本牙科协会杂志。

道脇幸博 他: "検査食の硬さによる誤嚥の危険性"日本口蓋科学会雑誌. 49・1. 11-15 (2000)

Yukihiro Michiwaki 等人：“由于测试食物的硬度而导致的误吸风险”，日本帕拉丁科学会杂志 49・1（2000 年）。

道脇幸博, 道健一 他: "口底癌再建症例の術後の構音機能に関する多施設共同研究" 日本口腔腫瘍学会雑誌. 10・1 (掲載予定). (1998)

Yukihiro Michiwaki、Kenichi Michi 等：“口底癌重建患者术后关节功能的多中心联合研究”日本口腔肿瘤学会杂志 10/1（待出版）。

Y.Michiwaki, et al.: "New test materials produced with iopamidol and agar for videofluorography in patients with dysphagia"Jpn. J. Dysphagia Rehablitation. 3. 34-39 (1999)

Y.Michiwaki 等人：“用碘帕醇和琼脂生产的新测试材料，用于吞咽困难患者的视频荧光检查”Jpn。

横山美加、道脇幸博 他: "X線ビデオ透視画像による嚥下動態の解析 第2報:*****"日本口蓋科学会雑誌. 49・2. 印刷中 (2000)

Mika Yokoyama、Yukihiro Michiwaki 等人：“使用 X 射线视频透视图像分析吞咽动力学第二次报告：*****”日本腭科学学会杂志 49・2。