Establishment of cure and care system for patients with dysphagia

本研究的目的是建立以牙科为基础的吞咽困难患者的治疗和护理体系，通过对摄片的运动分析来明确吞咽困难的诊断。结果表明，对于不具备明确发病机制能力的疾病进行分组是有用的。多普勒超声无创，在静态状态下能显示喉部液体，但因喉部运动而无法在吞咽时发现误吸。从功能评估到包括口腔医学在内的康复治疗技术被组织起来。在护理方面，根据吞咽困难的诊断类型，从护理技术、食物材料(明胶、琼脂、水的体积)和烹饪方法的角度对食物类型进行分类。护理技术包括安全的食物条件、患者的位置、每次吸吮的数量。本研究建立了吞咽困难患者的筛查方法，进一步挑战阐明疾病的机制和开发新的治疗方法。

The purpose of this study was to establish the cure and care system for patients with dysphagia based on the dentistry.For diagnosis, the motion analysis of the videofluorography was examined for clarifying dysphagia. The result demonstrated that it was useful for grouping of the disorder without capability for clarifying the mechanism. The doppler ultrasonography was non-invasive, and able to demonstrate liquid fluid in the larynx in static condition, but was invalid to find aspiration during swallowing because of the laryngeal movement.Concerning cure, rehabilitation technique was organized from functional evaluation to rehabilitation including dental medicine. For care, food types according to diagnostic type of dysphagia were classified from the view points of care techniques, food materials (gelatin, agar, volume of water) and cooking methods. The care technique included safety food conditions, position of patients, amount of each suck.This study established screening methods for dysphagia patients with further challenge of clarifying the mechanism of disorders and developing new treatments.