《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (3): 260-261.

• 论文 • 上一篇    下一篇

3种吞咽障碍评定量表在老年吞咽障碍患者中的反应性

刘立明1a,瓮长水1a,贾建军1b,王娜1a，聂永慧1b   

  1. 1.解放军总医院南楼临床部，a.康复医学科；b.神经内科, 北京市 100853。
  • 收稿日期:2010-02-08 修回日期:2010-02-22 出版日期:2010-03-25 发布日期:2010-03-25
  • 通讯作者: 瓮长水

Responsiveness of 3 Scale for Swallowing Disorder on Elderly Dysphagic Patients

LIU Li-ming, WENG Chang-shui, JIA Jian-jun, et al.   

  1. Department of Rehabilitation Medicine of Nan Lou, The Chinese PLA General Hospital, Beijing 100853, China
  • Received:2010-02-08 Revised:2010-02-22 Published:2010-03-25 Online:2010-03-25

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摘要： 目的检验在老年人群中常用的3种吞咽障碍评定量表的反应性。方法对40例伴有吞咽障碍老年人分别进行饮水试验、吞咽障碍程度分级和吞咽能力评价3种评定，在治疗前和治疗后3周各评定1次。结果各评定量表效应值为：饮水试验1.04、吞咽障碍程度分级1.74、吞咽能力评价2.06；标准化的反应平均值为：饮水试验2.49、吞咽障碍程度分级2.35、吞咽能力评价2.78；秩和检验显示，治疗前后各量表评分均有非常高度显著性差异（P＜0.001）。结论3种评定量表用于老年人的吞咽障碍康复评定均具有较高的反应性。

关键词: 吞咽障碍, 老年人, 饮水试验, 吞咽障碍程度分级, 吞咽能力评价, 反应性

Abstract: ObjectiveTo determine the responsiveness of 3 assessment for swallowing disorder on elderly people. Methods40 elderly cases with were assessed with drinking test, classification of swallowing disorder, and swallowing ability evaluation before and 3 weeks after treatment. ResultsThe effect size was 1.04 for drinking test, 1.74 for classification of swallowing disorder and 2.06 for swallowing ability evaluation. The standardized response mean was 2.49 for drinking test, 2.35 for classification of swallowing disorder and 2.78 for swallowing ability evaluation. There was very significant difference before and after treatment in the score of all the scales (P<0.001). ConclusionDrinking test, classification of swallowing disorder, and swallowing ability evaluation are responsive for swallowing disorder in elderly people receiving rehabilitation.

Key words: dysphagia, elderly, drinking test, classification of swallowing disorder, swallowing ability evaluation, responsiveness