软式喉内窥镜结合染料试验在卒中后隐性误吸中的应用

doi:10.3969/j.issn.1006-9771.2023.02.012

Abstract

Abstract:

Objective To explore the diagnostic value of fiberoptic endoscopic examination of swallowing (FEES) combined with dye test in patients with post-stroke dysphagia and silent aspiration.Methods From December, 2021 to June, 2022, 50 stroke patients in the Rehabilitation Department of Xuzhou Central Hospital were selected. They were assessed with FEES and videofluoroscopic swallowing study (VFSS), and compared. Results The detection rate of aspiration was higher with FEES than with VFSS (χ² = 7.000, P < 0.05), and especially for liquid food (χ² = 4.000, P < 0.05). There was a good consistency when consuming paste food (κ = 0.941, P < 0.001) and solid food (κ = 0.779, P < 0.001). There was a good consistency in the food residue site between two methods (κ = 0.818, P < 0.001), as well as for all the three food types (κ ≥ 0.862, P < 0.001). There was no significant difference in the scores of Penetration Aspiration Scale of three food types between two methods (Z < 0.667, P > 0.05). Conclusion FEES combined with dye test can be used for evaluating silent aspiration after stroke.

Key words: dysphagia, fiberoptic endoscopic examination of swallowing, videofluoroscopic swallowing study, silent aspiration, pharyngeal contractile movement

CLC Number:

R743.3

ZHOU Hui, GONG Zunke, TIAN Gengrun, GU Chengchen, WANG Shiyan, WANG Mi. Application of fiberoptic endoscopic examination of swallowing combined with dye test in silent aspiration after stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 231-237.

Figures/Tables 5

References 30

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VFSS	FEES
VFSS	会厌谷残留	梨状窝残留	无残留
会厌谷残留	43	4	0
梨状窝残留	5	41	0
无残留	0	0	2

VFSS		FEES
VFSS		会厌谷残留	梨状窝残留	无残留
液体	会厌谷残留	44	1	0
	梨状窝残留	3	42	0
	无残留	0	2	3
糊状	会厌谷残留	47	1	0
	梨状窝残留	1	40	1
	无残留	0	2	1
固体	会厌谷残留	45	1	0
	梨状窝残留	3	41	0
	无残留	0	3	0

PAS评分	FEES			VFSS
PAS评分	液体	糊状	固体	液体	糊状	固体
1分	10	28	36	16	29	41
2分	0	3	2	0	1	1
3分	1	3	4	1	5	1
4分	3	2	3	1	4	1
5分	0	3	1	0	1	0
6分	2	0	0	1	0	0
7分	6	1	0	7	1	0
8分	28	10	4	24	9	6

Application of fiberoptic endoscopic examination of swallowing combined with dye test in silent aspiration after stroke

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VFSS	FEES
VFSS	隐性误吸	显性误吸	无误吸
隐性误吸	24	0	0
显性误吸	0	7	1
无误吸	7	1	10

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