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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳佳慧(Cheryl Chia-Hui Chen) | |
| dc.contributor.author | Han Su | en |
| dc.contributor.author | 蘇涵 | zh_TW |
| dc.date.accessioned | 2021-06-07T17:48:53Z | - |
| dc.date.copyright | 2013-03-04 | |
| dc.date.issued | 2013 | |
| dc.date.submitted | 2013-02-06 | |
| dc.identifier.citation | Bakke, M., Larsen, S. L., Lautrup, C., & Karlsborg, M. (2011). Orofacial function and oral health in patients with Parkinson’s disease. European Journal of Oral Sciences, 119(1), 27-32.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15617 | - |
| dc.description.abstract | 長期插管可能會造成口腔體感覺功能閾值的增加、唾液分泌的減少以及舌肌肉力量的減退，以上這些功能都會影響到病人拔管後經口進食的情況。本研究目的為探討接受口咽氣管內管插管大於48小時病人，其舌及嘴唇肌肉力量、口腔體感覺功能與唾液分泌功能的影響及其拔管後復原狀況。
收案期間自民國101年8月至民國101年12月止，分別於台大牙科門診收健康控制組，共36人，予以一次性Modified Schirmer test(MST)、兩點辨識覺、輕觸覺、口腔形體辨識覺、舌等長收縮、與嘴唇肌力的評估。台大內科加護病房(3A-2、3B-2、3C-1、3C-2、4C-1、6E)，收長期接受口咽氣管內管插管且成功拔管的病人共30人，於成功拔除氣管內管四十八小時內，收案並完成拔管後首次Modified Schirmer test(MST)、兩點辨識覺、輕觸覺、口腔形體辨識覺、舌等長收縮、與嘴唇肌力及之後第七天、第14天的追蹤評估。 結果發現，插管病人其舌及嘴唇肌肉力量、口腔體感覺功能與唾液分泌功能在拔管後48小時處於最低點，而口腔體感覺功能到第14天大部分病人都能恢復，而舌及嘴唇肌肉力量與唾液分泌功能及便到第14天仍顯著低於健康控制組。 | zh_TW |
| dc.description.abstract | Loss of oral sensation, declined salivary secretion, and decreased tongue strength may occur after prolonged endotracheal intubation. All the above may affect oral intake following endotracheal extubation. The aim of this study was to assess the functional recovery of oral sensation, salivary secretion, and tongue strength in patients with prolonged endotracheal intubation.
A prospective observation study was conducted to assess the functional recovery of oral sensation, salivary secretion, and tongue strength among patients aged 20 years and older following endotracheal extubation. In keeping with previous research, we only include patient who had been intubation for at least 48hours.Data were assessed at three points in time, 48 hours within extubation, and 7 days and 14 days postextubation. Specifically , salivary secretion was measured by oral Schirmer test ; oral sensation was measured by oral stereognosis ,two point discrimination and light touch discrimination on the tongue ;tongue strength was measured by the Iowa Oral Performance Instrument(IOPI) System .The sample consists 30 patients and 36 control. Data revealed that oral sensation, salivary secretion, and tongue strength were all at the lowest point 48 hours within extubation. Oral sensation gradually recovered 14 days after extubation, while salivary secretion and tongue strength did not improve even at 14 days after extubation. The result suggests that functions of oral sensation, salivary secretion, and tongue strength affected significantly after prolonged endotracheal intubation and most did not recovered even after 14 days. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-07T17:48:53Z (GMT). No. of bitstreams: 1 ntu-102-R98426016-1.pdf: 2404295 bytes, checksum: 37bcb96b5c09e64b3e86b32a25aab7d6 (MD5) Previous issue date: 2013 | en |
| dc.description.tableofcontents | 口試委員會審定書……………………………………………………………. i
中文摘要………………………………………………………………………… ii 英文摘要……………………………………………………………………….. iii,iv 目錄…………………………………………………………………….………….. v 圖目錄………………………………………………………………………………vii 表目錄…………………………………………………………………………... viii 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的與假設 2 第三節 名詞界定 3 第二章 文獻查證 4 第一節、正常的吞嚥與咀嚼生理 4 第二節、長期經口咽插管對口腔準備期吞嚥的影響 6 第三節、舌與吞嚥 8 第四節、口腔體感覺(oral somatosensory)及其測量……………………………10 第五節 唾液之功能與測量………………………………………………………13 第三章 研究方法 17 第一節 研究概念與架構……………………………………………………………17 第二節 研究設計……………………………………………………………………18 第三節 研究對象……………………………………………………………………20 第四節 研究工具與效度定…………………………………………………………21 第五節研究流程………………………………………………………………….23 第六節 資料收集與分析……………………………………………………………24 第七節 研究倫理考量……………………………………………………………25 第四章 研究結果…………………………………………………………………26 第一節 研究對象之基本屬性……………………………………………………28 第二節健康受試者與插管組(拔管後第48小時、七天、十四天)其舌和嘴唇肌肉力量、口腔體感覺功能(兩點辨識覺、舌尖輕觸覺、形體辨視覺)、唾液分泌(Oral Schirmer’s test)之情形。…………………………………………………………30 第五章 討論…………………………………………………………………………41 第一節 長期插管病人及其他疾病病人嘴唇與舌力量變化情形之比較…………41 第二節 長期插管病人與其他疾病病人口腔體感覺功能(舌尖輕觸覺、舌尖兩點辨識覺、形體辨識覺)變化情形之比較………………………………………45 第三節 長期插管病人與其他疾病病人口唾液分泌(Oral Schirmer’s test)變化情形之比較………………………………………………………………54 第六章 結論與建議………………………………………………………………56 第一節 結論………………………………………………………………………56 第二節護理的應用…………………………………………………………………57 第三節 研究限制與建議……………………………………………………………58 參考文獻……………………………………………………………………………60 圖目錄 圖3-1研究概念與架構圖……………………………………………………………17 圖3-2收案流程圖…………………………………………………………………19 圖5-1收案流程圖…………………………………………………………………27 圖5-2舌前端上舉力量圖…………………………………………………………32 圖5-3舌後端上舉力量圖…………………………………………………………33 圖5-4舌部左側轉力量圖…………………………………………………………33 圖5-5舌部右側轉力量圖…………………………………………………………34 圖5-6舌部伸出力量圖……………………………………………………………34 圖5-7嘴唇緊閉力量圖……………………………………………………………35 圖5-8舌尖輕觸覺圖………………………………………………………………36 圖5-9舌尖兩點辨識圖……………………………………………………………37 圖5-10口腔形體辨識覺圖………………………………………………………39 圖5-11形體辨識覺不同形狀答題率圖…………………………………………39 圖5-12唾液分泌圖…………………………………………………………………40 圖6-1其他疾病舌最大力量情形圖…………………………………………………43 圖6-2其他疾病口腔輕觸覺情形圖………………………………………………47 圖6-3其他疾病口腔兩點辨識覺情形圖……………………………………………49 圖6-4其他疾病口腔形體辨識覺情形圖……………………………………………51 圖6-5其他疾病唾液分泌情形圖…………………………………………………55 表目錄 表4-1 研究對象基本屬性之類別變項……………………………………………28 表4-2研究對象基本屬性之連續變項……………………………………………29 表4-3 研究對象唾液分泌、舌感覺運動功能測試結果…………………………31 表6-1 其他疾病舌最大力量………………………………………………………44 表6-2 其他疾病口腔感覺………………………………………………………52-53 | |
| dc.language.iso | zh-TW | |
| dc.subject | 舌力量 | zh_TW |
| dc.subject | 口腔感覺 | zh_TW |
| dc.subject | 唾液分泌 | zh_TW |
| dc.subject | 長期插管 | zh_TW |
| dc.subject | oral sensation | en |
| dc.subject | prolonged endotracheal intubation | en |
| dc.subject | tongue strength | en |
| dc.subject | salivary secretion | en |
| dc.title | 經氣管內管插管後病人口腔感覺、舌運動功能與唾液分泌變化 | zh_TW |
| dc.title | Oral sensation, salivary secretion and tongue strength following endotracheal tube extubation | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 101-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.coadvisor | 王亭貴(Tyng-Guey Wang),蕭自佑(Tzu-Yu Hsiao),古世基(Shih-Chi Ku) | |
| dc.subject.keyword | 口腔感覺,唾液分泌,舌力量,長期插管, | zh_TW |
| dc.subject.keyword | oral sensation,salivary secretion,tongue strength,prolonged endotracheal intubation, | en |
| dc.relation.page | 67 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2013-02-06 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| 顯示於系所單位： | 護理學系所 | |
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| ntu-102-1.pdf 未授權公開取用 | 2.35 MB | Adobe PDF |
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