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Masticatory Function in the Rehabilitation of the Cerebral Apoplexy Patient

咀嚼功能在脑中风患者康复中的作用

基本信息

批准号：
10838018
负责人：
ONO Takahiro
金额：
$ 1.73万
依托单位：
Osaka University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10838018/
关键词：
Cerebral Apoplexy Rehabilitation Masticatory Function Occlusal Support Denture

项目摘要

In the rehabilitation hospital in Kagawa Pref., an encounter investigation of the cerebral apoplexy patient was carried out. The research objects were 21 staying home old people who were receiving day service, 10 hospitalized patients with dysphagia and 46 hospitalized patients without dysphagia. The survey item was subjective symptom on oral cavity and eating function, oral cavity (tooth, gums, tongue), oral cavity circumference (lip, cheek, temporomandibular joint), denture, swallow function, saliva, chewing ability. From the research object, the patient (28 hospitalized patients and 14 day service patients) with the occlusal support of posterior teeth by natural teeth or denture were chosen. Between two groups, the following were compared : Saliva quantity, buffering capacity of saliva, number of candida in the saliva, biting force, masticatory efficiency. As the result, saliva quantity and buffering capacity of saliva of the hospitalized patient group tended to be lower than that of day service patient group. The number of candida in the saliva on both groups was also very more abounding than the general old people. The quantity of the saliva tended to correlate with grade of eating ability and meal form. The hospitalized patient group showed the tendency which biting force and masticatory efficiency were lower than that of day service patient group. However, the individual difference was big, and it seemed to be necessary to search the influencial factor. From this investigation, chewing function of the cerebral apoplexy patients in the rehabilitation hospital was grasped and the influencial factor on it was indicated.

在香川县康复医院，对脑卒中患者进行了偶遇调查。研究对象为21名接受日间服务的居家老人、10名住院吞咽困难患者和46名住院非吞咽困难患者。调查项目为口腔及进食功能、口腔（牙齿、牙龈、舌头）、口腔周长（唇、颊、颞下颌关节）、义齿、吞咽功能、唾液、咀嚼能力等主观症状。从研究对象中选取28例住院患者和14例日间服务患者，采用自然牙或义齿对后牙进行咬合支持。比较两组大鼠唾液量、唾液缓冲能力、唾液中念珠菌数量、咬合力、咀嚼效率。因此，住院病人组的唾液量和唾液的缓冲能力倾向于低于日间服务病人组。两组人唾液中的念珠菌数量也比一般老年人丰富得多。唾液的数量与进食能力的等级和膳食形式有一定的相关性。住院患者组的咬合力和咀嚼效率均低于日间服务患者组。然而，个体差异很大，似乎有必要寻找影响因素。通过调查，掌握康复医院脑卒中患者的咀嚼功能，并指出影响咀嚼功能的因素。