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Journal of the Korean Academy of Rehabilitation Medicine 2010;34(5):503-507.
Detection of Saliva Aspiration Using Salivagram in Bedridden Patients with Brain Lesion.
Kang, In Soon , Kwon, Jung Gu , Lee, Sung Uk , Lee, Zee Ihn , Park, Gi Young , Park, Hea Woon
1Department of Rehabilitation Medicine, School of Medicine, Catholic University of Daegu, Korea. hwprm@cu.ac.kr
2Department of Rehabilitation Medicine, Daegu Fatima Hospital, Korea.
장기 침상 뇌병변 환자에서 방사핵종 침 조영술을 이용한 침 흡인의 확인
강인순, 권정구, 이성욱, 이지인1, 박기영, 박해운
대구가톨릭대학교 의과대학 재활의학교실, 1대구 파티마병원 재활의학과
To investigate the aspiration of saliva itself in bedridden patients with brain lesion using the response of radionuclide salivagram, and its association with patient characteristics and clinical factors.
Thirty two patients (21 men and 11 women) in bedridden state with brain lesion were performed the radionuclide salivagram. 99mTc sulfur colloid (1.0 mCi in a drop of saline) was instilled into patients' tongue with supine position. The sequential images were obtained at first 5 minutes and 10 minutes interval for 1 hour, and evaluated the presence of saliva aspiration as the entrance of tracer into major airways or lung parenchyma. The characteristics of patients and the states of cooperation, drooling, tracheostomy, and method of feed were also assessed.
Seven out of 32 subjects exhibited positive response of saliva aspiration by radionuclide salivagram. Men, uncooperative, and anterior drooling was significantly associated with positive finding of salivagram (p<0.05).
In bedridden patients with brain lesion, it seems that radionuclide salivagram may be one of methods for detection of the aspiration of saliva itself. (J Korean Acad Rehab Med 2010; 34: 503-507)
Key Words: Salivagram, Saliva aspiration, Brain lesion, Bedridden


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