本文選題：腦卒中 + 吞咽障礙　； 參考：《中國康復(fù)醫(yī)學(xué)雜志》2017年11期

【摘要】：目的:探討多倫多床旁吞咽篩查試驗(yàn)(TOR-BSST)在急性期腦卒中后吞咽障礙篩查中的篩檢效果。方法:采用TOR-BSST對(duì)148例急性期腦卒中后住院患者進(jìn)行篩查評(píng)估,篩查當(dāng)天或24小時(shí)之內(nèi)行吞咽障礙診斷金標(biāo)準(zhǔn)——視頻透視檢查(VFSS),以金標(biāo)準(zhǔn)為參考標(biāo)準(zhǔn),用靈敏度、特異度、陽性預(yù)測(cè)值、陰性預(yù)測(cè)值、陽性似然比、陰性似然比進(jìn)行篩檢效果評(píng)價(jià)。結(jié)果:TOR-BSST(+)共46例(31.08%),TOR-BSST(-)共102例(68.92%),結(jié)果顯示TOR-BSST判斷吞咽障礙的靈敏度為61.8%,特異度為87.1%,陽性預(yù)測(cè)值為73.9%,陰性預(yù)測(cè)值79.4%,陽性似然比為4.7907,陰性似然比0.4386。結(jié)論:與TOR-BSST研發(fā)原作者的研究相比較,此研究結(jié)果顯示篩檢效果不夠理想,兩者的研究環(huán)境與使用環(huán)境均有差距,未來需要更嚴(yán)謹(jǐn)?shù)难芯糠椒▽W(xué)設(shè)計(jì)、更多的吞咽障礙評(píng)估方法的引進(jìn)或開發(fā),且加強(qiáng)VFSS評(píng)價(jià)的準(zhǔn)確性是關(guān)鍵。
[Abstract]:Objective: to investigate the screening effect of Toronto bedside swallowing test (TOR-BSST) on dysphagia after acute stroke. Methods: TOR-BSST was used to screen and evaluate 148 inpatients with acute stroke. On the same day or within 24 hours of screening, the gold standard of dysphagia, video fluoroscopy, was used as the reference standard, and the sensitivity and specificity were used. Positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio were evaluated. Results there were 46 cases of TOR-BSST (31.08TOR-BSST-TOR-BSST-10). The results showed that the sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of TOR-BSST were 61.8, 87.1, 79.4, 4.7907 and 0.4386, respectively. Conclusion: compared with the research by the authors of TOR-BSST, the results of this study show that the screening effect is not satisfactory, the research environment and the application environment of both are different, and more rigorous research methodology design is needed in the future. It is crucial to introduce or develop more evaluation methods for dysphagia and to enhance the accuracy of VFSS evaluation.
【作者單位】： 中南大學(xué)湘雅二醫(yī)院康復(fù)醫(yī)學(xué)科;香港中文大學(xué)醫(yī)學(xué)院耳鼻咽喉-頭頸外科學(xué)系言語治療科;山西省長治醫(yī)學(xué)院附屬和平醫(yī)院康復(fù)科;
【分類號(hào)】：R493;R743.3
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本文編號(hào)：1781439