非急性期脑卒中病人吞咽功能评价  

Evaluation of Swallowing Function in Patients with Nonacute Stroke

作　　者：杜丽洁[1] 姜增誉[1] 王娇[1] 丁辉[1] 

机构地区：[1]山西医科大学第一医院,太原030001

出　　处：《中西医结合心脑血管病杂志》2016年第1期84-86,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

摘　　要：目的了解脑卒中恢复期病人吞咽功能状态。方法对2010年1月—2015年1月在山西医科大学第一医院放射科行消化道造影检查的病程为1个月至1年意识清楚、经口进食的178例脑卒中病人,分别行咽部电视透视录像造影检查（the vidiofluroscopic swallowing study,VFSS）及饮水试验,两种方法间误吸率的比较采用χ~2检验。结果 VFSS发现54.49%（97/178）的病人存在不同程度的呼吸道保护障碍,24.16%（43/178）的病人存在误吸,隐匿性误吸占55.81%（19/43）。饮水试验筛出误吸病人19例,检出率10.67%,误吸检出率的差异有统计学意义（P〈0.05）。结论卒中恢复期病人中仍有部分依然存在不同程度的吞咽障碍及误吸,应引起大家重视。Objective To determine the swallowing function in stroke patients at recovery phase. Methods O. ne hundred and seventy - eight subjects were selected from post stroke patients who were examined at Department of Radiology, First Hospital, Shanxi Medical University from January 2010 to January 2015. They were cognitively conscious, oral feeding patients. All patients underwent both videofluroscopic swallowing study （VFSS） and water swallowing test. The rate of aspiration was measured from both tests,outcome was compared by using chisquare test. Results VFSS showed that 54. 49% of the patients （97/1781） had variable degree impairment in airway protection, 24. 16% of the patients （43/178） had aspiration, 55. 81% of the patients had silent aspiration（19/43）. While water-swallowing test showed that 19 patients had aspiration,detection rate was 10. 67%. There were statistically significant between VFSS and water swallowing tests（ P 〈0. 05）. Conclusion There are various degrees of dysphagia in some post stroke patients who are at risk for aspiration, which requires attention from the treating clinicians.

关 键 词：脑卒中 误吸 吞咽障碍 造影 电视透视录像造影检查 

分 类 号：R743.3[医药卫生—神经病学与精神病学]