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首页> 外文期刊>Dysphagia >Effect of Tracheotomy Tube Occlusion on Upper Esophageal Sphincter and Pharyngeal Pressures in Aspirating and Nonaspirating Patients
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Effect of Tracheotomy Tube Occlusion on Upper Esophageal Sphincter and Pharyngeal Pressures in Aspirating and Nonaspirating Patients

机译:气管切开插管对吸入性和非吸入性患者食管上括约肌和咽压力的影响

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摘要

The biomechanics of the pharyngeal swallow in patients with a tracheotomy tube were investigated with manometry. Upper esophageal sphincter (UES) and pharyngeal pressure recordings were made with and without occlusion of the tracheotomy tube. Criteria for selection were ability to tolerate tracheotomy tube occlusion for both 5 minutes prior to and during the first manometric analysis, absence of surgery to the upper aerodigestive tract other than tracheotomy, and no history of oropharyngeal cancer or stroke. Aspiration was determined objectively by fiberoptic endoscopic evaluation of swallowing (FEES) immediately prior to manometric recording. Eleven adult individuals with tracheotomy participated; 7 swallowed successfully and 4 exhibited aspiration on FEES. The results indicated no significant effect of tracheotomy tube occlusion on UES or pharyngeal pressures in either aspirating or nonaspirating patients. It was concluded that the biomechanics of the swallow as determined by UES and pharyngeal manometric pressure measurements were not changed significantly by tracheotomy tube occlusion in aspirating or nonaspirating patients. These results support previous observations that subjects either aspirated or swallowed successfully regardless of tracheotomy tube occlusion status.
机译:用测压法对气管切开管患者咽咽的生物力学进行了研究。记录有无气管切开插管时的上食道括约肌(UES)和咽压力记录。选择的标准是在第一次压力测量分析之前和期间能够耐受气管切开术管阻塞5分钟的能力,除了气管切开术外没有对上消化道进行手术,并且没有口咽癌或中风的病史。在进行测压记录之前,立即通过光纤内窥镜吞咽评估(FEES)客观确定抽吸情况。参加气管切开术的11名成年个体参加了研究; 7例成功吞咽,4例表现出误吸。结果表明,在吸气或不吸气患者中,气管切开插管对UES或咽压力均无明显影响。结论是,由吸气或不吸气患者进行气管切开插管术,通过UES和咽部测压测量确定的吞咽生物力学没有明显改变。这些结果支持了先前的观察结果,即无论气管切开管的阻塞状态如何,受试者均可成功吸出或吞咽。

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