潍坊市养老院老年人吞咽障碍与误吸调查

doi:10.3969/j.issn.1006-9771.2022.04.014

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (4): 467-472.doi: 10.3969/j.issn.1006-9771.2022.04.014

潍坊市养老院老年人吞咽障碍与误吸调查

张萍萍¹,张婷¹,冯海洋¹,李贞蓉¹,陈萍²,李涛³,鲁德志⁴(),王孝文¹()

1.潍坊医学院,山东潍坊市 261021
2.潍坊医学院附属医院,山东潍坊市 261021
3.上海交通大学医学院附属新华医院,上海市 200444
4.上海大学医学院,上海市 200444

收稿日期:2021-09-05 修回日期:2022-02-10 出版日期:2022-04-25 发布日期:2022-05-05
通讯作者: 鲁德志,王孝文 E-mail:dezhi_lu@163.com;wangxiaowen2003@126.com
作者简介:张萍萍(1996-),女,汉族,江苏镇江市人,硕士,初级治疗师,主要研究方向：吞咽康复及呼吸康复。
基金资助:
国家自然科学基金青年科学基金项目(81902195);上海交通大学中国医院发展研究院医院管理建设项目(CHDI-2021-B-33);潍坊市软科学研究计划项目(2021RKX071);潍坊医学院校级大学生创新创业训练计划项目(X2021137)

Investigation on dysphagia and aspiration among the elderly in nursing home in Weifang, Shandong, China

ZHANG Pingping¹,ZHANG Ting¹,FENG Haiyang¹,LI Zhenrong¹,CHEN Ping²,LI Tao³,LU Dezhi⁴(),WANG Xiaowen¹()

1. Weifang Medical University, Weifang, Shandong 261021, China
2. Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261021, China
3. Xinhua Hospital, Shanghai Jiaotong University, Shanghai 200444, China
4. Medicine School of Shanghai University, Shanghai 200444, China

Received:2021-09-05 Revised:2022-02-10 Published:2022-04-25 Online:2022-05-05
Contact: LU Dezhi,WANG Xiaowen E-mail:dezhi_lu@163.com;wangxiaowen2003@126.com
Supported by:
National Natural Science Foundation of China (Youth)(81902195);Hospital Management and Construction Project of China Hospital Development Research Institute of Shanghai Jiaotong University(CHDI-2021-B-33);Weifang Soft Science Research Project(2021RKX071);School Innovation and Entrepreneurship Training Program of Weifang Medical University(X2021137)

摘要/Abstract

摘要：

目的调查潍坊市养老院老年人吞咽障碍与误吸的发生情况及具体表现。方法 2021年1月至6月,随机抽取潍坊市10家养老院入住的837位老年人,采用基本情况调查问卷、Fried衰弱表型、Ohkuma问卷和容积-黏度吞咽测试进行调查。结果养老院老年人吞咽障碍与误吸的发生率分别为44.2%、12.3%。不同年龄和健康状况老年人的吞咽障碍发生率有显著性差异(χ² > 8.437, P<0.05)。男性吞咽障碍与误吸的发生率均高于女性(χ² > 4.060, P < 0.05)。男性口腔期吞咽功能障碍发生率显著高于女性,食管期吞咽功能障碍发生率显著低于女性(χ² > 20.830, P<0.001)。患有脑卒中、阿尔茨海默病和帕金森病的老年人以口腔期功能障碍为主(χ²=27.579, P<0.001),患有慢性呼吸道疾病老年人以咽期和气道保护功能障碍为主(χ² > 20.241, P<0.01)。结论养老院老年人吞咽障碍与误吸发生率较高,不同性别、基础疾病间的吞咽障碍表现不同。

关键词: 吞咽障碍, 误吸, 老年人, 衰弱, 调查

Abstract:

Objective To investigate the occurrence and characteristics of dysphagia and aspiration in the elderly in nursing home in Weifang, Shandong, China.Methods From January to June, 2021, 837 elderly people from 10 nursing homes in Weifang were randomly selected and investigated with general situation questionnaire, Fried Frailty Phenotype, Ohkuma questionnaire and Volume-Viscosity Swallowing Test.Results The prevalence of dysphagia and aspiration was 44.2% and 12.3% respectively. There were significant differences in the prevalence of dysphagia among ages and health condition (χ² > 8.437, P<0.05). The prevalence of dysphagia and aspiration was higher in men than in women (χ² > 4.060, P < 0.05). The incidence of oral dysphagia was higher in men than in women, and the incidence of esophageal dysphagia was lower (χ² > 20.830, P<0.001). Oral dysphagia was predominant in the elderly with stroke, Alzheimer's disease, and Parkinson's disease (χ²=27.579, P<0.001), and esophageal dysphagia and airway protection dysfunction were predominant in the elderly with chronic respiratory disease (χ² > 20.241, P<0.01).Conclusion The dysphagia and aspiration are prevalent in the elderly in nursing homes, and varies with different genders and basic diseases.

Key words: dysphagia, aspiration, aged, frailty, investigation

张萍萍,张婷,冯海洋,李贞蓉,陈萍,李涛,鲁德志,王孝文. 潍坊市养老院老年人吞咽障碍与误吸调查[J]. 《中国康复理论与实践》, 2022, 28(4): 467-472.

ZHANG Pingping,ZHANG Ting,FENG Haiyang,LI Zhenrong,CHEN Ping,LI Tao,LU Dezhi,WANG Xiaowen. Investigation on dysphagia and aspiration among the elderly in nursing home in Weifang, Shandong, China[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 467-472.

图/表 2

表1

表2

参考文献 46

[1]	NILSSON H, EKBERG O, OLSSON R, et al. Quantitative aspects of swallowing in an elderly nondysphagic population[J]. Dysphagia, 1996, 11(3):180-184. doi: 10.1007/BF00366381
[2]	LAURA W B, PERE C, PATRICK C, et al. European Society for Swallowing Disorders-European Union Geriatric Medicine Society White Paper: Oropharyngeal Dysphagia as a Geriatric Syndrome[J]. Clin Interv Aging, 2016, 10(11):1403-1428.
[3]	王洪冰, 李佩珍. 老年人吸入性肺炎的诊治难点和对策[J]. 中华老年医学杂志, 2006, 25(5):325-327.
	WANG H B, LI P Z. Challenges and strategies in diagnosis and treatment of aspiration pneumonia in the elderly[J]. Chin J Geriatr, 2006, 25(5):325-327.
[4]	李琦, 陈萍, 陈良安, 等. 呼吸系统疾病防治新进展[J]. 解放军医学杂志, 2010, 35(9):1074-1078.
	LI Q, CHEN P, CHEN L A, et al. New advances in prevention and treatment for respiratory disease[J]. Med J Chin PLA, 2010, 35(9):1074-1078.
[5]	董冰茹, 顾杰. 社区老年人衰弱评估方法的研究进展[J]. 中国全科医学, 2021, 24(10):1302-1308. doi: 10.12114/j.issn.1007-9572.2021.00.012
	DONG B R, GU J. Evaluation methods of frailty in the community-dwelling elderly[J]. Chin Gen Pract, 2021, 24(10):1302-1308. doi: 10.12114/j.issn.1007-9572.2021.00.012
[6]	韩君, 王君俏, 谢博钦, 等. Fried衰弱表型和FRAIL量表及埃德蒙顿衰弱评估量表在社区高龄老年人衰弱筛查中一致性和适用性的比较研究[J]. 中国全科医学, 2021, 24(21):2669-2675. doi: 10.12114/j.issn.1007-9572.2021.00.451
	HAN J, WANG J Q, XIE B Q, et al. Comparison of consistency and validity of Fried Frailty Phenotype, FRAIL Scale and Edmonton Frailty Scale for frailty screening among community-dwelling older adults[J]. Chin Gen Pract, 2021, 24(21):2669-2675. doi: 10.12114/j.issn.1007-9572.2021.00.451
[7]	VERMEULEN J, NEYENS J C, VAN ROSSUM E, et al. Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: a systematic review[J]. BMC Geriatr, 2011, 11:33. doi: 10.1186/1471-2318-11-33
[8]	CHEN C Y, WU S C, CHEN L J, et al. The prevalence of subjective frailty and factors associated with frailty in Taiwan[J]. Arch Gerontol Geriatr, 2010, 50(1):S43-S47. doi: 10.1016/S0167-4943(10)70012-1
[9]	孔建华, 张洁, 樊晓曦, 等. Fried表型衰弱量表及FRAIL量表在社区老人衰弱筛查中的应用[J]. 中国临床保健杂志, 2019, 22(5):604-608.
	KONG J H, ZHANG J, FAN X X, et al. Application of two frailty assessment tools in the screening of frail elderly persons in the community[J]. Chin J Clin Health Care, 2019, 22(5):604-608.
[10]	OHKUMA R F I, KOJIMA C H K, TAKEHARA I, et al. Development of a questionnaire to screen dysphagia[J]. Jpn J Dysphagia Rehabil, 2002, 6(1):3-8.
[11]	KAWASHIMA K, MOTOHASHI Y, FUJISHIMA I. Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening[J]. Dysphagia, 2004, 19(4):266-271. doi: 10.1007/s00455-004-0013-6
[12]	李慧, 冯辉, 陈荟菁, 等. 吞咽障碍筛查工具在养老服务中的应用进展[J]. 中国康复医学杂志, 2020, 35(3):356-360.
	LI H, FENG H, CHEN H J, et al. Research progress on screening tools for dysphagia in community elder care service[J]. Chin J Rehabil Med, 2020, 35(3):356-360.
[13]	PAPADOPOULOU S L, EXARCHAKOS G, CHRISTODOULOU D, et al. Adaptation and assessment of reliability and validity of the Greek version of the Ohkuma Questionnaire for Dysphagia Screening[J]. Int Arch Otorhinolaryngol, 2017, 21(1):58-65. doi: 10.1055/s-0036-1580613
[14]	陈巧茹, 蔡方, 王丽, 等. 容积粘度测试在吞咽障碍评估中的灵敏性及特异性研究[J]. 黑龙江中医药, 2020, 49(5):358-359.
	CHEN Q R, CAI F, WANG L, et al. The sensitivity and specificity of dysphagia evaluation with the Volume and Viscosity Swallowing Test[J]. Heilongjiang J Tradit Med, 2020, 49(5):358-359.
[15]	万桂芳, 张耀文, 史静, 等. 改良容积粘度测试在吞咽障碍评估中的灵敏性及特异性研究[J]. 中华物理医学与康复杂志, 2019, 41(12):900-904.
	WAN G F, ZHANG Y W, SHI J, et al. The sensitivity and specificity of dysphagia evaluation with the Chinese version of the Volume and Viscosity Swallowing Test[J]. Chin J Phys Med Rehebil, 2019, 41(12):900-904.
[16]	LIN L C, WU S C, CHEN H S, et al. Prevalence of impaired swallowing in institutionalized older people in Taiwan[J]. J Am Geriatr Soc, 2010, 50(6):1118-1123. doi: 10.1046/j.1532-5415.2002.50270.x
[17]	CLAVÉ P, ROFES L, CARRIÓN S, et al. Pathophysiology, relevance and natural history of oropharyngeal dysphagia among older people[J]. Nestle Nutr Inst Workshop Ser, 2012, 72:57-66.
[18]	TAGLIAFERRI S, LAURETANI F, PELÁ G, et al. The risk of dysphagia is associated with malnutrition and poor functional outcomes in a large population of outpatient older individuals[J]. Clin Nutr, 2019, 38(6):2684-2689. doi: 10.1016/j.clnu.2018.11.022
[19]	韩维嘉, 孙建琴, 易青, 等. 上海地区养护机构老年人吞咽障碍及营养风险调查研究[J]. 老年医学与保健, 2012, 18(3):170-172.
	HAN W J, SUN J Q, YI Q, et al. Investigation of dysphagia and nutrition risk in the elderly from nursing home in Shanghai[J]. Geriatr Health Care, 2012, 18(3):170-172.
[20]	高薇薇, 张晓晓, 白银婷. 宁波市养老院老年人吞咽功能障碍调查[J]. 中国康复理论与实践, 2019, 25(7):761-765.
	GAO W W, ZHANG X X, BAI Y T. Swallowing dysfunction for old people in nursing homes in Ningbo[J]. Chin J Rehabil Theory Pract, 2019, 25(7):761-765.
[21]	李超, 张梦清, 窦祖林, 等. 中国特定人群吞咽功能障碍的流行病学调查报告[J]. 中华物理医学与康复杂志, 2017, 39(12):937-943.
	LI C, ZHANG M Q, DOU Z L, et al. Prevalence of dysphagia in China: an epidemiology survey of 6102 participants[J]. Chin J Phys Med Rehebil, 2017, 39(12):937-943.
[22]	刘媛媛, 王新平, 李晓玲, 等. 60岁以上老年人误吸发病率及危险因素分析[J]. 检验医学与临床, 2014, 11(24):3403-3405.
	LIU Y Y, WANG X P, LI X L, et al. Analysis of incidence and risk factors of aspiration patients over 60 years old[J]. Lab Med Clin, 2014, 11(24):3403-3405.
[23]	HU X, LEE J S, PIANOSI P T, et al. Aspiration-related pulmonary syndromes[J]. Chest, 2015, 147(3):815-823. doi: 10.1378/chest.14-1049
[24]	DIGOY G P. Diagnosis and management of upper aerodigestive tract foreign bodies[J]. Otolaryngol Clin North Am, 2008, 41(3):485-496. doi: 10.1016/j.otc.2008.01.013
[25]	GAJIC O, DABBAGH O, PARK P K, et al. Early identification of patients at risk of acute lung injury: evaluation of lung injury prediction score in a multicenter cohort study[J]. Am J Respir Crit Care Med, 2011, 183(4):462-470. doi: 10.1164/rccm.201004-0549OC
[26]	JANSSEN I, HEYMSFIELD S B, WANG Z M, et al. Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr[J]. J Appl Physiol, 2000, 89(1):81-88. doi: 10.1152/jappl.2000.89.1.81
[27]	CHRISTMAS C, ROGUS-PULIA N. Swallowing disorders in the older population[J]. J Am Geriatr Soc, 2019, 67(12):2643-2649. doi: 10.1111/jgs.16137
[28]	CARMONA J J, MICHAN S. Biology of healthy aging and longevity[J]. Rev Invest Clin, 2016, 68(1):7-16.
[29]	周秀华, 黄会英, 程艮, 等. 北京市城乡结合地区老年人健康状况及居家护理服务需求调查[J]. 中华现代护理杂志, 2021, 27(9):1142-1146.
	ZHOU X H, HUANG H Y, CHENG G, et al. Health status and home care service demand of elderly people in urban-rural joint areas in Beijing[J]. Chin J Mod Nurs, 2021, 27(9):1142-1146.
[30]	SHAKER R, REN J, PODVRSAN B, et al. Effect of aging and bolus variables on pharyngeal and upper esophageal sphincter motor function[J]. Am J Physiol, 1993, 264(3):427-432.
[31]	FEINBERG M J, EKBERG O. Videofluoroscopy in elderly patients with aspiration: importance of evaluating both oral and pharyngeal stages of deglutition[J]. Am J Roentgenol, 1991, 156(2):293-296. doi: 10.2214/ajr.156.2.1898801
[32]	GREGERSEN H, PEDERSEN J, DREWES A M. Deterioration of muscle function in the human esophagus with age[J]. Dig Dis Sci, 2008, 53(12):c3065-3070.
[33]	BATH P M, HAN S L, EVERTON L F. Swallowing therapy for dysphagia in acute and subacute stroke[J]. Stroke, 2018, 10(10): CD000323
[34]	KALF J G, SWART B, BLOEM B R, et al. Prevalence of oropharyngeal dysphagia in Parkinson's disease: a meta-analysis[J]. Parkinsonism Relat Disord, 2012, 18(4):311-315. doi: 10.1016/j.parkreldis.2011.11.006
[35]	TIAN H, ABOUZAID S, SABBAGH M N, et al. Health care utilization and costs among patients with AD with and without dysphagia[J]. Alzheimer Dis Assoc Disord, 2013, 27(2):138-144. doi: 10.1097/WAD.0b013e318258cd7d
[36]	DEHAGHANI S E, YADEGARI F, ASGARI A, et al. Brain regions involved in swallowing: evidence from stroke patients in a cross-sectional study[J]. J Res Med Sci, 2016, 21:45. doi: 10.4103/1735-1995.183997
[37]	MINAGI Y, ONO T, HORI K, et al. Relationships between dysphagia and tongue pressure during swallowing in Parkinson's disease patients[J]. J Oral Rehabil, 2018, 45(6):459-466. doi: 10.1111/joor.12626
[38]	MEDEIROS C, SCHAFIROVITS M L, WILSON J F, et al. Swallowing in moderate and severe phases of Alzheimer's disease[J]. Arq Neuropsiquiatr, 2010, 68(6):855-861. doi: 10.1590/S0004-282X2010000600005
[39]	吴志达. 误吸对COPD急性加重的影响的探讨[D]. 广州: 广州医科大学, 2013.
	WU Z D. Study on the association between silent aspiration and chronic obstructive pulmonary disease (COPD) exacerbation[D]. Guangzhou: Guangzhou Medical University, 2013.
[40]	BEAL M, CHESSON A, GARCIA T, et al. A pilot study of quantitative aspiration in patients with symptoms of obstructive sleep apnea: comparison to a historic control group[J]. Laryngoscope, 2004, 114(6):965-968. doi: 10.1097/00005537-200406000-00002
[41]	TIBBLING L, GUSTAFSSON B. Dysphagia and its consequences in the elderly[J]. Dysphagia, 1991, 6(4):200-202. doi: 10.1007/BF02493526
[42]	胡雅, 杨斌, 付藏媚, 等. 养老机构老年人衰弱现状及影响因素分析[J]. 中华现代护理杂志, 2021, 27(5):576-581.
	HU Y, YANG B, FU Z M, et al. Current status and influencing factors of frailty of the elderly in nursing homes[J]. Chin J Mod Nurs, 2021, 27(5):576-581.
[43]	张云霞. 成都市养老机构老年衰弱状况调查及与不良事件的相关性研究[D]. 成都: 成都医学院, 2019.
	ZHANG Y X. Research on frailty among older nursinghome residents in Chengdu and itsrelationship with adverse outcomes[D]. Chengdu: Chengdu Medical College, 2019.
[44]	姚帼君, 曲璇, 孙晓红. 老年人吞咽障碍与衰弱相关性的研究进展[J]. 中国临床保健杂志, 2020, 23(5):590-593.
	YAO G J, QU X, SUN X H. Research progress on the correlation between dysphagia and frailty in the elderly[J]. Chin J Clin Health Care, 2020, 23(5):590-593.
[45]	NEY D M, WEISS J M, KIND A, et al. Senescent swallowing: impact, strategies, and interventions[J]. Nutr Clin Pract, 2009, 24(3):395-413. doi: 10.1177/0884533609332005
[46]	SANDERS D S, CARTER M J, D'SILVA J, et al. Percutaneous endoscopic gastrostomy: a prospective audit of the impact of guidelines in two district general hospitals in the United Kingdom[J]. Am J Gastroenterol, 2002, 97(9):2239-2245. doi: 10.1111/j.1572-0241.2002.05778.x

潍坊市养老院老年人吞咽障碍与误吸调查

Investigation on dysphagia and aspiration among the elderly in nursing home in Weifang, Shandong, China

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 2

参考文献 46

相关文章 15

Metrics

本文评价

推荐阅读 0

项目	n	吞咽障碍	误吸	χ²值^a	P值^a	χ²值^b	P值^b
性别				4.060	0.044	4.486	0.034
男	350	169	53
女	487	201	50
年龄/岁				8.437	0.038	5.621	0.132
60~69	78	41	9
70~79	160	65	28
80~89	400	163	41
90~	199	101	25
衰弱				73.931	< 0.001	104.409	< 0.001
否	427	243	4
是	410	127	99
疾病				58.409	< 0.001	51.996	< 0.001
脑卒中	162	94	37
阿尔茨海默病	56	32	6
帕金森病	38	26	5
慢性呼吸道疾病	54	36	18
其他慢性疾病	272	102	21
无	255	80	16

项目	n	并发症	咽期	口腔期	食管期	气道保护	并发症		咽期		口腔期		食管期		气道保护
项目	n	并发症	咽期	口腔期	食管期	气道保护	χ²值	P值	χ²值	P值	χ²值	P值	χ²值	P值	χ²值	P值
性别							0.754	0.385	2.275	0.131	30.180	< 0.001	20.830	< 0.001	2.181	0.140
男	169	11	54	129	5	18
女	201	7	50	154	36	32
年龄/岁							3.080	0.379	7.457	0.059	13.524	0.004	7.891	0.048	0.874	0.832
60~69	41	2	17	24	2	7
70~79	65	3	23	45	3	7
80~89	163	4	38	127	18	22
90~	101	7	26	86	17	14
疾病							9.423	0.093	79.334	< 0.001	27.579	< 0.001	8.726	0.121	20.241	0.001
脑卒中	94	7	41	75	5	16
阿尔茨海默病	32	1	4	26	1	7
帕金森病	26	1	7	22	3	4
慢性呼吸道疾病	36	4	28	15	4	14
其他慢性疾病	102	1	15	83	17	9
无	80	2	9	62	9	9
总计	370	18	104	283	41	59

[1]	刘平, 周楠, 薛晓杰, 邵伟波. 脑卒中后吞咽障碍康复治疗技术应用研究的文献计量分析[J]. 《中国康复理论与实践》, 2026, 32(3): 294-303.
[2]	韩雪娇, 史冀鹏, 卫金鹏, 朱天瑞, 徐红旗, 何慕寒. 体力活动和平衡能力与残疾的关联性研究——基于NHANES的横断面研究[J]. 《中国康复理论与实践》, 2026, 32(1): 1-12.
[3]	张季辉, 伊龙悦, 杨远滨. 中老年人平衡功能障碍的相关因素及其与功能性下肢肌力的关联：基于CHARLS数据库的分析[J]. 《中国康复理论与实践》, 2026, 32(1): 13-22.
[4]	陈夏尧, 董英, 冬雪, 密忠祥, 程军, 张爱民, 卢迪迪, 王军, 刘巨德, 安芊默, 郭辉, 刘效臣, 余泽锋. 社区康复站投入、产出、结果及影响的实证研究[J]. 《中国康复理论与实践》, 2026, 32(1): 83-89.
[5]	陈俊利, 张晗, 张叶凡, 张艳秋, 高润国, 高倩倩, 蔡伟芹, 李海燕, 嵇丽红, 董志伟, 井淇. 基于老年人整合照护框架构建老年人轻度认知功能障碍社区-家庭管理模式[J]. 《中国康复理论与实践》, 2026, 32(1): 90-100.
[6]	谭茗丹, 冯锭瑶, 李咏雪. 头颈癌吞咽障碍患者照料者第三方残疾的研究[J]. 《中国康复理论与实践》, 2025, 31(9): 1032-1037.
[7]	高飞, 刘丽旭, 胡雪艳, 吴晓莉, 杨凌宇, 杨宇琦, 叶长青, 杜晓霞. 单双侧经颅直流电刺激对卒中后吞咽障碍的效果比较[J]. 《中国康复理论与实践》, 2025, 31(9): 993-999.
[8]	都丽露, 姚仁魁, 赵衍宇, 李孟轩, 邹敏, 张功法. 生命意义感和居住方式在日常生活活动能力对老年人抑郁影响中的效应[J]. 《中国康复理论与实践》, 2025, 31(8): 987-992.
[9]	杨亚茹, 邱卓英, 陈迪, 王忠彦, 张萌, 宋桂芸. 运用ICF构建残疾标准的理论架构与方法体系[J]. 《中国康复理论与实践》, 2025, 31(7): 745-754.
[10]	段林茹, 郑洁皎, 郑拥军, 丁建伟. 老年人与青年人姿势控制能力的差异[J]. 《中国康复理论与实践》, 2025, 31(7): 846-852.
[11]	吴晓晖, 蒋雷, 朱静茹, 解利辉. 深度学习在老年人轻度认知障碍诊断中应用的Scoping综述[J]. 《中国康复理论与实践》, 2025, 31(6): 674-681.
[12]	黄龙贤, 顾思佳, 黄有利, 陈丽梅. 2015年至2024年肌少症性吞咽障碍研究的文献计量分析[J]. 《中国康复理论与实践》, 2025, 31(6): 682-691.
[13]	陈俊利, 张晗, 石志学, 刘亚, 赵盈喆, 董志伟, 嵇丽红, 李海燕, 陈芳芳, 王春平, 马安宁, 井淇. 老年人轻度认知障碍社区识别-干预工具包的研制[J]. 《中国康复理论与实践》, 2025, 31(6): 692-702.
[14]	付国军, 余秀芳, 吕鑫, 吉璐, 刘华庆. 复合电磁刺激联合下颌抗阻训练对卒中后吞咽障碍的效果[J]. 《中国康复理论与实践》, 2025, 31(6): 721-728.
[15]	张炜, 钱善华, 刘丽, 蒋宇靖, 俞经虎, 范雨超, 卫小梅. 吞咽动态模型构建与仿真：以舌运动幅度下降为例[J]. 《中国康复理论与实践》, 2025, 31(6): 736-744.