脳血管障害患者における嚥下障害の有無による最大咳流速の差

  • 木村 美子
    九州栄養福祉大学 リハビリテーション学部 理学療法学科
  • 高橋 真紀
    産業医科大学 医学部 リハビリテーション医学講座
  • 和田 太
    産業医科大学 医学部 リハビリテーション医学講座
  • 蜂須賀 研二
    産業医科大学 医学部 リハビリテーション医学講座

書誌事項

タイトル別名
  • Differences in the Peak Cough Flow among Stroke Patients With and Without Dysphagia

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抄録

Coughing is an important protective mechanism for keeping the airway clear, and adequate voluntary coughing reduces the risk of aspiration in patients with deglutition disorders. The purpose of this study was to compare the peak cough flow (PCF) of stroke patients with and without dysphagia and to identify the physical and respiratory determinants of PCF.Using a spirometer, we measured and compared the PCFs of 10 stroke patients with dysphagia (SPD), 20 stroke patients without dysphagia (SP) and 10 gender and age matched healthy controls (HC) recruited by using a notice at a clinic and in newspapers. The PCF of the SPD (mean ± SD, 160.1 ± 68.7 l/min) was significantly lower than that of the SP and HC (297.2 ± 114.2 l/min and 462.0 ± 84.4 l/min, respectively; one-way ANOVA, Scheffeʼs test, P < 0.05). The vital capacity (VC) and inspiratory reserve volume (IRV) of the SPD were lower than those of the HC. Stepwise multivariate regression analysis revealed that IRV and ambulation function (Functional Ambulation Categories, FAC) contributed 50% and 17% to the variance of PCF (P < 0.05), respectively. It is suggested that respiratory function, especially IRV, is important for maintaining PCF in SPD.

収録刊行物

  • Journal of UOEH

    Journal of UOEH 35 (1), 9-16, 2013

    学校法人 産業医科大学

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参考文献 (14)*注記

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