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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(2):213-218.
Preemptive Swallowing Stimulation in Long-term Intubated Patients.
Hwang, Chang Ho , Choi, Kyoung Hyo , Na, Hyo Jin , Ko, Yoon Suk , Leem, Chae Man , Yang, Kyoung Soon
1Department of Physical Medicine and Rehabilitation, Asan Medical Center, University of Ulsan College of Medicine, Korea. chhwang1220ciba@yahoo.co.kr
2Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Korea.
장기간의 기관 내 삽관 환자에 대한 발관 전 연하 자극
황창호, 최경효, 나효진, 고윤석1, 임채만1, 양경순1
울산대학교 의과대학 서울아산병원 재활의학과, 1호흡기내과
Abstract
Objective
To evaluate the effect of preemptive swallowing stimulation on the recovery of swallowing function in long-term intubated patients.
Method
Patients in the intensive care unit intubated for at least 48 hours due to respiratory distress from March to August 2003 were randomly assigned to two groups. Fifteen patients were stimulated (experimental group), and 18 patients were not stimulated (control group). The duration of intubation was 15.5⁑6.7 days in the experimental group and 15.7⁑6.5 days in the control group. Duration of stimulation in the experimental group was 7.3⁑3.6 days. After extubation, we compared the severity of dysphagia via video-fluoroscopic swallowing study.
Results
There was no difference in percentage of aspiration and swallowed volume between two groups. Oral transit time of the experimental group (0.37⁑0.07 sec) was significantly shorter than that of the control group (0.83⁑0.10 sec), and the oropharyngeal swallowing efficiency of the experimental group (73.3⁑17.4%/sec) was significantly higher than that of the control group (50.1⁑13.0%/sec).
Conclusion
Preemptive swallowing stimulation in long term intubated patients may facilitate recovery of dysphagia. (J Korean Acad Rehab Med 2005; 29: 213-218)
Key Words: Videofluoroscopy, Dysphagia, Intubation, Swallowing therapy


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