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Analysis of swallowing dynamics by high-resolution manometry : Index correlated with swallowing pressure
https://osaka-dent.repo.nii.ac.jp/records/136
https://osaka-dent.repo.nii.ac.jp/records/136b5e0180e-39e6-4e23-becc-9bcc8a801161
名前 / ファイル | ライセンス | アクション |
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学位論文 (812.9 kB)
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論文内容要旨・審査結果要旨 (196.1 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2016-09-13 | |||||
本文言語 | ||||||
言語 | eng | |||||
タイトル | ||||||
タイトル | Analysis of swallowing dynamics by high-resolution manometry : Index correlated with swallowing pressure | |||||
著者 |
小泉, 孝弘
× 小泉, 孝弘× Koizumi, Takahiro |
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キーワード | ||||||
主題Scheme | Other | |||||
主題 | Swallowing pressure | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Calf circumference | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Correlation | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 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 |
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学位名 | ||||||
学位名 | 博士(歯学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 34408 | |||||
学位授与機関名 | 大阪歯科大学 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2016-06-22 | |||||
学位授与番号 | ||||||
学位授与番号 | 乙第1603号 |