吞咽不同黏度食物时健康成年人舌运动的超声研究

doi:10.3969/j.issn.1006-9771.2022.11.016

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (11): 1355-1359.doi: 10.3969/j.issn.1006-9771.2022.11.016

吞咽不同黏度食物时健康成年人舌运动的超声研究

武静芳^1a,李雪梅^1a(),袁永学^1b,李芳^1c

1.中国康复研究中心北京博爱医院，a. 超声科；b. 耳鼻喉科；c. 神经内科，北京市 100068

收稿日期:2022-08-08 修回日期:2022-09-16 出版日期:2022-11-25 发布日期:2022-12-20
通讯作者: 李雪梅 E-mail:18600598941@163.com
作者简介:武静芳(1976-)，女，汉族，山西太谷县人，硕士，副主任医师，主要研究方向：小器官超声及喉部超声。|李雪梅(1965-)，女，汉族，四川德阳市人，硕士，主任医师，主要研究方向：肌骨超声、腹部超声。
基金资助:
中国康复研究中心重点科研项目(2019-ZX-15)

Tongue movement of swallowing food with different viscosities in healthy adults: an ultrasound study

WU Jingfang^1a,LI Xuemei^1a(),YUAN Yongxue^1b,LI Fang^1c

1. a. Department of Ultrasound; b. Department of Otolaryngology; c. Department of Neurology, Beijing Bo'ai Hospital, Chinese Rehabilitation Research Center, Beijing 100068, China

Received:2022-08-08 Revised:2022-09-16 Published:2022-11-25 Online:2022-12-20
Contact: LI Xuemei E-mail:18600598941@163.com
Supported by:
Key Scientific and Research Project of China Rehabilitation Research Center(2019-ZX-15)

摘要/Abstract

摘要：

目的应用B/M型超声研究健康成年人吞咽不同体积和黏度食物时的舌体运动。

方法 2021年11月1日至2022年4月15日，于北京博爱医院行超声检查的健康成年人中，招募61例完成5 mL水、15 mL水、5 mL半流食酸奶和5 mL固体酸奶吞咽任务，使用B/M型超声分别记录舌运动Ⅰ期时间、Ⅱ期时间、最大运动幅度和最大运动速度。

结果吞咽5 mL水时，舌运动Ⅰ期时间最短(|Z| > 3.871, P < 0.001)，Ⅱ期时间短于吞咽15 mL水和吞咽5 mL半流食酸奶时(|Z| > 2.61, P < 0.001)。吞咽15 mL水时，舌运动最大幅度最大(|Z| > 8.888, P < 0.001)。执行4种吞咽任务时，舌运动最大速度无显著性差异(χ² = 0.833, P > 0.05)。

结论食物的体积和黏度能影响吞咽时的舌运动。B/M型超声是一种方便、无辐射、经济的评估吞咽功能的方法。

关键词: 舌运动, 吞咽功能, 超声

Abstract:

Objective To investigate the tongue movement of swallowing food with different volumes and viscosities in healthy adults by B/M ultrasound.

Methods From November 1, 2021 to April 15, 2022, 61 healthy adults were recruited from those who underwent ultrasound examination in Beijing Bo'ai Hospital. The objects were ask to swallow 5 mL water, 15 mL water, 5 mL semi-liquid yogurt and 5 mL solid yogurt. Then B/M ultrasound was used to record the phase I time, phase II time, maximum amplitude and maximum velocity of tongue movement.

Results The phase I time was the least as swallowing 5 mL water (|Z| > 3.871, P< 0.001). The phase II time was less as swallowing 5 mL water than that of swallowing 15 mL water and 5 mL semi-liquid yogurt (|Z| > 2.61, P< 0.001). The maximum amplitude of tongue movement was the most as swallowing 15 mL water (|Z| > 8.888, P< 0.001). There was no significant difference in the maximum velocity of tongue movement among the four swallowing tasks (χ² = 0.833, P > 0.05).

Conclusion Food of different viscosities and different volumes can affect tongue movement. The use of B/M ultrasound is an easy, radiation-free and cost-effective method for the assessment of swallowing.

Key words: tongue movement, swallowing function, ultrasound

中图分类号:

R333.1

武静芳,李雪梅,袁永学,李芳. 吞咽不同黏度食物时健康成年人舌运动的超声研究[J]. 《中国康复理论与实践》, 2022, 28(11): 1355-1359.

WU Jingfang,LI Xuemei,YUAN Yongxue,LI Fang. Tongue movement of swallowing food with different viscosities in healthy adults: an ultrasound study[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1355-1359.

图/表 5

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吞咽不同黏度食物时健康成年人舌运动的超声研究

Tongue movement of swallowing food with different viscosities in healthy adults: an ultrasound study

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吞咽任务	n	舌运动Ⅰ期时间
5 mL水	61	0.290(0.240, 0.348)
15 mL水	61	0.373(0.295, 0.422)^a
5 mL半流食酸奶	61	0.370(0.310, 0.412)^b
5 mL固体酸奶	61	0.350(0.285, 0.417)^c

吞咽任务	n	舌运动Ⅱ期时间
5 mL水	61	1.276(1.210, 1.367)
15 mL水	61	1.355(1.269, 1.456)^a
5 mL半流食酸奶	61	1.358(1.261, 1.431)^b
5 mL固体酸奶	61	1.343(1.240, 1.434)

吞咽任务	n	舌运动最大幅度
5 mL水	61	5.433(4.402, 6.571)^a
15 mL水	61	18.301(16.604, 20.050)
5 mL半流食酸奶	61	6.103(4.949, 6.768)^b
5 mL固体酸奶	61	5.771(5.046, 6.568)^c

吞咽任务	n	舌运动最大速度
5 mL水	61	25.671(21.052, 28.879)
15 mL水	61	26.468(21.933, 30.304)
5 mL半流食酸奶	61	27.233(22.068, 31.721)
5 mL固体酸奶	61	26.072(22.224, 30.503)

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