《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (9): 801-802.

• 论文 •    下一篇

适应商在老年人吞咽障碍评估中的价值

刘立明1a，王娜1a，谭国娟1b，蒋天裕1a，王秋华1a，瓮长水1a   

  1. 1.解放军总医院南楼临床部，a.康复医学科；b.超声科，北京市100853
  • 收稿日期:2012-06-11 修回日期:1900-01-01 出版日期:2012-09-25 发布日期:2012-09-25
  • 通讯作者: 王娜

Accommodation Quotient for Dysphagia Evaluation in Elderly

LIU Li-ming, WANG Na, TAN Guo-juan, et al   

  1. Department of Rehabilitation Medicine of Nan Lou, The Chinese PLA General Hospital, Beijing 100853, China
  • Received:2012-06-11 Revised:1900-01-01 Published:2012-09-25 Online:2012-09-25

PDF (PC)

被引次数

11

摘要： 目的检验Vocastim吞咽言语诊断治疗仪自带适应商(AQ)在老年吞咽功能评估中的应用价值。方法40 例吞咽障碍老年人于治疗前和治疗3 周后用AQ、洼田饮水试验和吞咽能力评价法进行评定。根据首次AQ测量结果，将患者分为轻度损害组 (AQ=1.5~2.5)和重度损害组(AQ<1.5)，对比两组患者的吞咽功能，分析AQ与吞咽障碍程度和恢复情况的相关性。结果治疗前两组洼田饮水试验评分无显著性差异(P>0.05)，吞咽能力评价得分有显著性差异(P<0.05)。治疗前AQ值与治疗前洼田饮水试验、吞咽能力评价结果及改善值均中度相关(P<0.001)，与治疗后吞咽能力评价结果中度相关(P<0.001)，与治疗后洼田饮水试验评分无相关性(P>0.05)。结论AQ可以部分反应老年患者的吞咽功能，并能够预测老年患者吞咽功能的治疗效果。

关键词: 吞咽障碍, 老年人, 适应商, 评定

Abstract: Objective To determine the value of accommodation quotient (AQ) on dysphagia evaluation in the elderly. Methods 40 old cases with dysphagia were assessed with AQ, Kubota Water Swallow Test (WST) and Swallowing Evaluation (SE) before and after 3 weeks of treatment. The patients were divided into 2 groups based on the first AQ assessment: mild group (AQ=1.5~2.5) and serious group (AQ< 1.5). Results There was not significant difference in scores of WST between both groups (P>0.05) but SE (P<0.05). The AQ before treatment moderately correlated with the scores of WST and SE before treatment and improvement (P<0.001), and SE after treatment (P<0.001), but did not correlate with the score of WST after treatment (P>0.05). Conclusion The AQ may indicate the function of swallowing in the elderly, and predict the outcome of dysphagia.

Key words: dysphagia, elderly, accommodation quotient, evaluation