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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Influence of effortful swallow on pharyngeal pressure: evaluation using a high-resolution manometry.
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Influence of effortful swallow on pharyngeal pressure: evaluation using a high-resolution manometry.

机译：吞咽对咽压力的影响：使用高分辨率测压法进行评估。

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摘要

OBJECTIVE: To evaluate the effect of effortful swallow on pharyngeal pressure while swallowing saliva and water using a novel high-resolution manometry (HRM) system. STUDY DESIGN: Case series with planned data collection. SETTING: Nagasaki University Hospital. SUBJECTS AND METHODS: Eighteen asymptomatic Japanese adult volunteers were studied. A solid-state HRM assembly with 36 circumferential sensors spaced 1 cm apart was positioned from the velopharynx to the upper esophagus to record pressures while swallowing. The maximum values of the pressure while swallowing saliva (dry swallowing) and 5 mL of water were measured at the velopharynx, meso-hypopharynx, and upper esophageal sphincter (UES) with and without effortful swallows. RESULTS: The maximum values of dry swallowing pressures (mm Hg) at the velopharynx, meso-hypopharynx, and UES were significantly higher with effortful swallow (155.7 +/- 59.7, 256.7 +/- 78.7, and 276.5 +/- 87.5, mean +/- standard deviation) than without it (115.3 +/- 60.8, 172.9 +/- 57.0, and 195.8 +/- 61.3). Those of water swallowing pressures were also statistically higher with effortful swallow (169.3 +/- 69.1, 236.6 +/- 77.2, and 267.3 +/- 79.1) than without it (119.2 +/- 59.7, 189.5 +/- 70.7, and 221.3 +/- 72.7). CONCLUSION: The present results provide quantitative evidence of effortful swallow as well as physiological information. It also is hoped to be an aid to future clinical and investigative studies.
机译：目的：使用新型高分辨率测压（HRM）系统评估吞咽费力吞咽唾液和水时对咽压力的影响。研究设计：具有计划数据收集的病例系列。地点：长崎大学医院。受试者和方法：研究了18名无症状的日本成人志愿者。将一个固态HRM组件（其36个周向传感器间隔1 cm）放置在从咽部到上食道的位置，以记录吞咽时的压力。在吞咽和不吞咽的情况下，在口咽，中咽和上食道括约肌（UES）处测量吞咽唾液（干吞咽）和5 mL水时的最大压力值。结果：吞咽困难时，咽部，中咽下咽和UES处的干吞咽压力（mm Hg）的最大值显着更高（平均值为155.7 +/- 59.7、256.7 +/- 78.7和276.5 +/- 87.5，均值+/-标准偏差）（不包括115.3 +/- 60.8、172.9 +/- 57.0和195.8 +/- 61.3）。吞咽水的吞咽压力在统计学上较高（169.3 +/- 69.1、236.6 +/- 77.2和267.3 +/- 79.1），高于没有吞咽的水（119.2 +/- 59.7、189.5 +/- 70.7和221.3） +/- 72.7）。结论：目前的结果提供了吞咽努力以及生理信息的定量证据。也希望它对将来的临床和调查研究有帮助。

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