並列タイトル等高解像度マノメトリーによる嚥下動態の解析 −嚥下圧と相関する指標について−
一般注記The swallowing pressure test evaluates swallowing dynamics quantitatively and objectively according to pressure and time, and has been applied to pharyngeal pressure measurement in recent years. Swallowing dynamics of healthy adults between the tongue root and esophageal entrance were analyzed using high-resolution manometry for esophageal pressure measurement. Since the swallowing pressure test is not versatile enough for all circumstances and subjects, factors that more conveniently represent the swallowing pressure are clinically useful. In the present study, the swallowing pressure and correlated factors were investigated.Subjects were 9 healthy adults (5 males and 4 females: 28.7±7.3 years on average). A 4 channels stealth pharyngeal pressure measurement device (8Fr in diameter) (Star medical Inc., Tokyo) was used to measure the swallowing pressure. The most caudal part of the sensor was set at channel 4, and the swallowing pressure was measured at 4 points with 2cm increments. A sensor catheter was inserted nasally. After channel 4 had reached a positive resting pressure, and the waveform had become stable, 5 mL of tap water at room temperature was given to swallow without command. BMI, tongue pressure, grip strength, arm circumference and calf circumference were simultaneously measured to evaluate the relationship with the swallowing pressure.The mean swallowing pressure was 104.1±17.3 mmHg in males and 174.4±42.1 mmHg in females at channel 1 in the tongue root, suggesting a significant difference between males and females, but no significant difference was observed in the other channels. The maximum swallowing pressure at channel 3 was significantly higher than those at the other channels. Positive correlations were noted between the maximum swallowing pressure values at channel 2 and calf circumference, and between the maximum swallowing pressure values at channel 3 and calf circumference
2016年度
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受理日（W3CDTF）2022-02-06T04:33:19+09:00
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