帕金森病患者吞咽障碍评估的研究进展  

Progress on evaluation of dysphagia in patients with Parkinson′s disease

作　　者：王萍[1] 王波[2] 熊冰[1] 李金辉[1] 姬长勐 罗巍[2] Wang Ping;Wang Bo;Xiong Bing;Li Jinhui;Ji Changmeng;Luo Wei(Department of Rehabilitation,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Neurology,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China;Center for Rehabilitation Assessment and Therapy,Zhejiang Rehabilitation Medical Center,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属第二医院康复科,杭州、310009 [2]浙江大学医学院附属第二医院神经内科,杭州310009 [3]浙江康复医疗中心康复评定治疗中心,杭州310052

出　　处：《中华神经科杂志》2023年第3期351-358,共8页Chinese Journal of Neurology

基　　金：浙江省科学技术厅重点研发计划(2019C03017)。

摘　　要：帕金森病是常见的神经系统变性疾病,其吞咽障碍发生率达16%~87%,口腔期、咽期、食管期均有可能发生异常。帕金森病患者吞咽障碍的评估方法有仪器评估方法、非仪器客观评估方法和主观评估方法。吞咽造影检查、软式喉内窥镜吞咽功能检查是帕金森病患者吞咽功能评估的“金标准”,高分辨率食道测压、舌压检查、表面肌电图和超声检查等可以作为补充检查。吞咽障碍问卷量表敏感度、特异度、信度效度较好,被推荐为筛查量表。Parkinson′s disease(PD)is a common neurodegenerative disease.The prevalence of dysphagia in patients with PD is 16%-87%.Dysphagic patients show abnormalities in the oral,pharyngeal and esophageal phases of swallowing.The evaluation tools of dysphagia in patients with PD include instrumental assessment tools,non-instrumental objective assessment tools and subjective assessment tools.Videofluoroscopic study of swallowing and flexible endoscopic examination of swallowing are the gold standards for swallowing assessment in patients with PD;high-resolution manometry,tongue pressure measurement,surface electromyography and ultrasonography can be used as supplementary tests;the Swallowing Disturbance Questionnaire Scale,which is sensitive,specific,reliable and valid,is recommended as a screening tool.

关 键 词：帕金森病 吞咽 吞咽障碍 

分 类 号：R742.5[医药卫生—神经病学与精神病学]