《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (04): 345-347.

• 临床研究 • 上一篇    下一篇

标准吞咽功能评估在卒中后误吸筛查中的应用价值

孙伟平1;黄一宁1;王峥2;刘冉1;孙葳1;陈静1   

  1. 1. 北京大学第一医院神经内科，北京市 100034;2. 南京医科大学第一附属医院老年医学科，江苏南京市 210029
  • 收稿日期:2008-12-09 出版日期:2009-04-01 发布日期:2009-04-01
  • 通讯作者: 黄一宁

Value of Standardized Swallowing Assessment in Screening for Aspiration after Stroke

SUN Wei-ping, HUANG Yi-ning, WANG Zheng, et al   

  1. The Department of Neurology, Peking University First Hospital, Beijing 100034, China
  • Received:2008-12-09 Published:2009-04-01 Online:2009-04-01

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摘要： 目的 探讨标准吞咽功能评估(SSA)在卒中后误吸筛查中的应用价值。方法 对81例急性脑卒中患者进行SSA筛查和纤维鼻咽喉镜吞咽功能检查(FEES)。以FEES检查为金标准，计算SSA对急性脑卒中患者误吸诊断的灵敏度、特异度、阳性预测值和阴性预测值。对比SSA筛查阳性患者和SSA筛查阴性患者的肺炎发生率。结果 SSA对卒中后误吸诊断的灵敏度为95.0%，特异度53.7%，阳性预测值66.7%，阴性预测值91.7%。SSA筛查阳性患者的肺炎发生率高于SSA阴性患者( P＜0.05）。结论 SSA在卒中后误吸的评估中是一个有价值的筛查工具。

关键词: 脑卒中, 误吸, 标准吞咽功能评估

Abstract: Objective To investigate the value of Standardized Swallowing Assessment (SSA) in the screening for aspiration after stroke.Methods 81 patients with acute stroke received examinations of both SSA and Fiberoptic Endoscopic Examination of Swallowing (FEES). The SSA was then measured against the FEES study for sensitivity, specificity, positive predictive value and negative predictive value for aspiration in acute stroke patients. The relation between the Results of SSA and pneumonia post-stroke was analyzed.Results Sensitivity, specificity, positive predictive value and negative predictive value of SSA for aspiration were 95.0%, 53.7%, 66.7% and 91.7%, respectively. The patients with positive result on SSA had a higher incidence of pneumonia ( P＜0.05).Conclusion SSA is a valid and valuable screening tool for aspiration in acute stroke patients.

Key words: stroke, aspiration, Standardized Swallowing Assessment