台北某社區老人之吞嚥障礙

Swallowing Disorder in the Elderly of a Taipei Community

王亭貴(Tyng-Guey Wang) ； 陳思遠(Ssu-Yuan Chen) ； 連倚南(I-Nan Lien) ； 黃士峰(Shih-Fong Hwang)

《台灣醫學》 5卷5期 (2001/09) Pp. 523-529

https://doi.org/10.6320/FJM.2001.5(5).04

摘要

Swallowing problems are increasing recognized in the elderly population of developed country. Understanding the change of swallowing function in the elderly might benefit the management of dysphagia in this group patient. The aim of this study is to investigate the prevalence and severity of swallowing impairment in the community elderly relative to their age and symptoms.
Ten mL water test to evaluate the swallowing reflex and 100 mL timed water test for detecting the swallowing speed were performed in 289 consecutive community elderly aged 65-95 years old. Each patient was asked and recorded how frequently they are choked in daily mealtime. The subjects were categorized by age into four group: A: between 65 to 70 years old (n=19), B: between 71 to 75 years old (n=140), C: between 76 to 80 years old (n=84), and D: greater than 80 years old (n=46). Ten young individuals under 40 years old underwent the same tests as control. The swallowing speed less than 5 mL/ sec was defined as abnormal. The swallowing disorder included choking in daily mealtime, slowed swallowing speed, and choking in water test. The individuals having at least two of the three disorders were defined dysphagia.
The result showed that 12.8 % of the elderly suffered dysphagia. Sixty-three among the 289 tested individuals had choking at least three times per week. However, thirty-five of them had normal clinical water test. In the 226 persons with subjectively normal swallowing, 39 of them had reduced swallowing speed and 20 of them developed choking in the water test. The swallow speed as well as the amount of swallow per mouth, of C group was significantly less than that of the B group (10.5± 4.9 mL/sec vs 8.9 ± 5.6mL/sec, p＜ 0.05), while no significant difference was noticed between A or B groups, and C and D groups. We concluded that 12 % of community elderly (above 65 years old) had dysphagia and the individuals greater than 75 years old might have deteriorated swallowing function.

關鍵字

吞嚥障礙 ； 老人 ； 電視X光透視吞嚥檢查 ； 喝水試驗

並列摘要

Swallowing problems are increasing recognized in the elderly population of developed country. Understanding the change of swallowing function in the elderly might benefit the management of dysphagia in this group patient. The aim of this study is to investigate the prevalence and severity of swallowing impairment in the community elderly relative to their age and symptoms.
Ten mL water test to evaluate the swallowing reflex and 100 mL timed water test for detecting the swallowing speed were performed in 289 consecutive community elderly aged 65-95 years old. Each patient was asked and recorded how frequently they are choked in daily mealtime. The subjects were categorized by age into four group: A: between 65 to 70 years old (n=19), B: between 71 to 75 years old (n=140), C: between 76 to 80 years old (n=84), and D: greater than 80 years old (n=46). Ten young individuals under 40 years old underwent the same tests as control. The swallowing speed less than 5 mL/ sec was defined as abnormal. The swallowing disorder included choking in daily mealtime, slowed swallowing speed, and choking in water test. The individuals having at least two of the three disorders were defined dysphagia.
The result showed that 12.8 % of the elderly suffered dysphagia. Sixty-three among the 289 tested individuals had choking at least three times per week. However, thirty-five of them had normal clinical water test. In the 226 persons with subjectively normal swallowing, 39 of them had reduced swallowing speed and 20 of them developed choking in the water test. The swallow speed as well as the amount of swallow per mouth, of C group was significantly less than that of the B group (10.5± 4.9 mL/sec vs 8.9 ± 5.6mL/sec, p＜ 0.05), while no significant difference was noticed between A or B groups, and C and D groups. We concluded that 12 % of community elderly (above 65 years old) had dysphagia and the individuals greater than 75 years old might have deteriorated swallowing function.

並列關鍵字

dysphagia ； geriatric ； videofluoroscopic ； water test