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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Manometric abnormality in dysphagic patients after medullary cerebrovascular accidents.
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Manometric abnormality in dysphagic patients after medullary cerebrovascular accidents.

机译:吞咽性脑血管意外后吞咽困难患者的测压异常。

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摘要

We investigated the pharyngeal swallowing function using videomanofluorometry (VMF) in patients after medullary cerebrovascular accidents. Upper esophageal sphincter pressure, which should drop when a bolus arrives at the hypopharynx, increased at the same time as the elevation of oropharyngeal and hypopharyngeal pressures. A reduction of oropharyngeal and hypopharyngeal swallowing pressures was also observed. Our results suggest that a misprogrammed excitatory output from the central pattern generators of the brain stem would cause an abnormal pressure-traveling pattern of pharyngeal swallowing. VMF was useful to assess the pharyngeal swallowing function and to determine the indications for cricopharyngeal myotomy for patients after medullary cerebrovascular accidents.
机译:我们研究了髓性脑血管意外后使用视频荧光法(VMF)的咽咽功能。当推注到达下咽时,食管上括约肌的压力应降低,但同时口咽和下咽的压力会升高。还观察到口咽和下咽的吞咽压力降低。我们的结果表明,来自脑干中央模式发生器的兴奋程序输出错误会导致咽吞咽的压力移动模式异常。 VMF可用于评估延髓性脑血管意外患者的咽部吞咽功能并确定环咽肌切开术的适应症。

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