脑卒中隐性误吸评估工具的研究现状  

Research status of assessment tools for silent aspiration in stroke patients

作　　者：林苗远 卢琼娜 曲钢 谢佼 林文娟[1] Lin Miaoyuan;Lu Qiongna;Qu Gang;Xie Jiao;Lin Wenjuan(Department of Neurosurgery,Shenzhen Nanshan People's Hospital,Shenzhen 518000,China;School of Health,Guangzhou Vocational University of Science and Technology,Guangzhou 510000,China)

机构地区：[1]深圳市南山区人民医院神经外科,深圳518000 [2]广州科技职业技术大学健康学院,广州510000

出　　处：《中华现代护理杂志》2025年第10期1395-1400,共6页Chinese Journal of Modern Nursing

摘　　要：目前脑卒中患者误吸中,约有2/3是隐性误吸。然而,隐性误吸因外在症状隐匿较难发现,导致后期罹患肺炎的风险高于显性误吸。了解隐性误吸的发生机制是采取有效措施的前提,高效的筛查工具有助于临床识别。本文综述了国内外脑卒中隐性误吸发病机制、评估工具及其临床应用情况,比较工具的优点与缺点、现存问题及原因分析,以期为脑卒中患者隐性误吸评估工具的应用、开发及临床实践提供参考,预防脑卒中隐性误吸的发生。Currently,approximately 2/3 of aspiration cases in stroke patients are silent aspiration.However,due to its occult external symptoms,silent aspiration is difficult to detect,resulting in a much higher risk of developing pneumonia in the later stage compared with overt aspiration.Understanding the pathogenesis of silent aspiration is a prerequisite for taking effective measures,and efficient screening tools are helpful for clinical identification.This article reviews the pathogenesis,assessment tools,and clinical application status of silent aspiration in stroke patients at home and abroad,compares the advantages and disadvantages of the tools,existing problems,and conducts cause analysis,aiming to provide a reference for the application,development,and clinical practice of assessment tools for silent aspiration in stroke patients,and to prevent the occurrence of silent aspiration in stroke patients.

关 键 词：综述 卒中 隐性误吸 评估工具 

分 类 号：R74[医药卫生—神经病学与精神病学]