Coordnation of Breathing and Swallowing in Oral or Oropharyngeal Cancer Patients with Postoperative Dysphagia

口腔或口咽癌术后吞咽困难患者的呼吸和吞咽协调

• 批准号: 11672386
• 负责人: KMAKURA Yayoi
• 金额: $ 1.34万
• 依托单位: Aichi Prefectural College of Nursing & Health
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672386/
• 关键词: Postoperative dysphagia; Oral or oropharyngeal cancer; Respirographic biofeedback; Respiration pattern; Deglutition training program; Nursing; 呼吸軌跡; バイオフィードバック; 嚥下; 嚥下性無呼吸; 呼吸曲線

This study examined respiration patterns during swallowing to evaluate a deglutition training program using respirographic biofeedback for oral or oropharyngeal cancer patients with postoperative dysphagia. The subjects were 11 normal female volunteers (mean age 19.5±0.7 ; young group) and 11 normal male volunteers (mean age 71.5±3.7 ; elderly group). Respirograms and submental surface electromyograms during swallowing 10 or 5 ml water were simultaneously recorded. In the young group, the frequency of respiration patterns was examined by test-retest at a month interval. In the young and elderly groups, they were examined when the subjects made an effort to swallow the bolus at the four instructed points on the respiration cycle figure (A : end of expiration ; B : middle of inspiration ; C : end of inspiration ; D : middle of expiration) with respirographic biofeedback using a computer screen.The results showed that the test-retest correlation was 0.83 on the single laryngeal movement p … More attern (single type) in respiration patterns and 0.76 on the expiration-apnea-expiration pattern (eae type) in single type. The frequency of appropriate respiratory patterns at the A, B, C and D point was 52.7%, 7O.9%, 50.9% and 47.3% in the young group, and 43.6%, 20.0%, 45.5% and 40.0% in the elderly group, respectively. Swallowing at A, B, C and D point, the frequency of the safest respiratory patterns was 18.2%, 45.4%, 92.8% and 69.1% in the young group, and 30.9%, 67.3%, 83.6% and 54.5% in the elderly group, respectively.These results suggested that the instruction to swallow the bolus at C point and respirographic biofeedback assured the safe respiration patterns for swallowing. Thus, eight cancer patients with postoperative dysphagia were allowed to follow this program with the permission of the ethics committee of the hospital. The respiration patterns altered the pattern of several laryngeal movements (piecemeal type) into the single type in 6 patients, and the number of laryngeal movements decreased in 2 patients. Less

本研究检查了吞咽过程中的呼吸模式，以评估使用呼吸描记生物反馈治疗口腔或口咽癌术后吞咽困难患者的吞咽训练计划。研究对象为11名正常女性志愿者（平均年龄19.5±0.7岁；年轻组）和11名正常男性志愿者（平均年龄71.5±3.7岁；老年组）。同时记录吞咽10或5ml水期间的呼吸图和颏下表面肌电图。在年轻组中，每隔一个月通过重测检查呼吸模式的频率。在年轻组和老年组中，当受试者在呼吸周期图上的四个指示点（A：呼气末；B：吸气中期；C：吸气末；D：呼气中期）努力吞咽丸剂时，使用计算机屏幕进行呼吸生物反馈检查。结果显示，在单次喉部运动模式（单一类型）中，重测相关性为0.83。 单一类型的呼吸模式和呼气-呼吸暂停-呼气模式（eae 型）为 0.76。青年组A、B、C、D点适当呼吸模式出现频率分别为52.7%、7O.9%、50.9%、47.3%，老年组分别为43.6%、20.0%、45.5%、40.0%。在A、B、C和D点吞咽时，年轻组中最安全呼吸模式的频率分别为18.2%、45.4%、92.8%和69.1%，老年组中分别为30.9%、67.3%、83.6%和54.5%。这些结果表明，C点吞咽指令和呼吸描记生物反馈确保了安全呼吸模式。为了 吞咽。因此，在医院伦理委员会的许可下，8名术后出现吞咽困难的癌症患者被允许遵循该方案。呼吸模式将多次喉部运动模式（零碎型）变为单一型，2例患者喉部运动次数减少。较少的