Journal
JOURNAL OF ULTRASOUND IN MEDICINE
Volume -, Issue -, Pages -Publisher
WILEY
DOI: 10.1002/jum.16381
Keywords
chronic obstructive pulmonary disease; swallowing dysfunction; swallowing movement; ultrasonic measurement
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This study aimed to investigate the correlation between ultrasonic measurements of swallowing movement parameters and aggravation of swallowing dysfunction in patients with chronic obstructive pulmonary disease (COPD). The results showed that certain swallowing movement parameters were negatively associated with COPD-related swallowing issues while others were positively correlated. The severe group exhibited lower values for some parameters compared to the mild group. Receiver operating characteristic (ROC) curves demonstrated the promising diagnostic utility of these parameters for assessing the presence and severity of swallowing dysfunction in COPD patients.
ObjectiveTo investigate the correlation between ultrasonic measurements of swallowing movement parameters and aggravation of swallowing dysfunction in patients with chronic obstructive pulmonary disease (COPD).MethodsCOPD patients with swallowing dysfunction (n = 120) and COPD patients with normal swallowing function (n = 100) treated in our hospital between January 2020 and January 2023 were included in observation and control groups, respectively. The correlation between ultrasonic measurements of swallowing movement parameters and COPD with swallowing dysfunction was analyzed. The observation group was divided into mild and severe groups according to their Gugging Swallowing Screen (GUSS) scores. The correlation between ultrasonic measurements of swallowing movement parameters and COPD exacerbation combined with swallowing dysfunction was analyzed.ResultsIn the observation group, Hyoid muscle thickness, hyoid bone displacement, geniohyoid muscle movement distance, HLAS, and CSR were lower compared to the control group, negatively associated with COPD-related swallowing issues. Conversely, geniohyoid muscle movement time and minimum hyohyoid distance (NHLA) were higher in the observation group, positively correlated with COPD-related swallowing dysfunction. In COPD patients with swallowing problems, the severe group exhibited lower values for lingual muscle thickness, hyoid bone displacement, geniohyoid muscle movement distance, HLAS, and CSR compared to the mild group, while geniohyoid muscle movement time and NHLA were higher in the severe group. Receiver operating characteristic (ROC) curves were created, indicating the promising diagnostic utility of these parameters for assessing the presence and severity of swallowing dysfunction in COPD patients.ConclusionThe ultrasonic measurement of swallowing motion parameters can effectively assess swallowing dysfunction in COPD patients.
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