视觉模拟评分法评价腭裂术后无声状态下腭咽闭合状态的研究  

Assessment of velopharyngeal status of postoperative cleft palate patients in silent mode by visual analog scale

作　　者：高涛[1] 马莲[2] 罗奕[2] 孙勇刚[2] 

机构地区：[1]北京积水潭医院口腔科,100035 [2]北京大学口腔医学院·口腔医院口腔颌面外科

出　　处：《中华口腔医学杂志》2012年第7期419-422,共4页Chinese Journal of Stomatology

摘　　要：目的分析视觉模拟评分法（visual analogscale，VAS）评价腭裂术后腭咽闭合状态的可靠性，为非直观检测腭咽闭合功能声学仪器间接评价腭咽闭合功能提供参考。方法应用鼻咽纤维镜对唇腭裂修复术后82例患者进行11个语音样本的腭咽闭合状态检查，由3名有多年治疗唇腭裂临床经验的专家在无声状态下对腭咽闭合状态进行分级定性及视觉模拟量表评价，对选取语音样本VAS值与分级定性评价进行Spearman相关分析，对选取语音样本中10个非鼻辅音语音样本按照腭咽闭合程度分级定性评价分类，计算定性评价不同类型腭咽闭合的VAS值范围。结果定性评价不同类型腭咽闭合状态VAS值明显不同，重度腭咽闭合不全VAS值最小（28．4137），完全性腭咽闭合VAS值最大（96．0568），而且正常值范围相互交叉范围较大，通过VAS值界定腭咽闭合状态有效性〉70％。结论腭咽闭合程度VAS评价能够正确反映腭咽闭合定性评价的结果，VAS值对腭咽闭合形态是可靠的，提出VAS值评价腭咽闭合状态的标准进一步细化了腭咽闭合功能的定性评价。Objective To evaluate the velopharyngeal status of cleft palate patients after operation in silent mode by visual analog scale. Methods A total of 82 patients with cleft lip and palate after operation were examined by nasopharyngeal fiber endoscopy with 11 voice samples. The velopharyngeal status was evaluated by three experienced experts using qualitative method and visual analog scale （VAS） method in silent mode. The Spearman correlation relationship was analyzed between VAS value and qualitative grade. The VAS value range of 10 non-nasal consonant voice samples was divided according to qualitative classification. Results VAS values could accurately reflect the outcome of the qualitative classification. The poorer the velopharyngeal status was, the lower the VAS value, and vice versa. The whole effectiveness of value range was greater than 70%. Conclusions VAS values can accurately reflect the outcome of the qualitative classification about velopharyngeal function, and VAS value grading velopharyngeal status is reliable. This study proposed VAS values range standards for different velopharyngeal qualitative classification.

关 键 词：腭裂 腭咽闭合不全 鼻咽纤维镜 视觉模拟量表 

分 类 号：R782.2[医药卫生—口腔医学]