摘要
目的:探讨吞咽造影检查对脑卒中后吞咽障碍患者的临床研究。方法:2017年7月-2018年7月收治脑卒中患者60例,均进行洼田饮水试验临床评估和吞咽造影检查,比较两种检查方法对吞咽障碍的分期诊断率、针对性治疗后的预后判断有效率及进食指导安全率。结果:吞咽障碍分期诊断率,饮水试验为34.32%,吞咽造影为80%,差异有统计学意义(P<0.05)。针对性治疗后的预后判断有效率,饮水试验为33.12%,吞咽造影检查为63.53%,差异有统计学意义(P<0.05)。进食指导安全率,饮水试验为31.66%,吞咽造影检查为51.63%,差异有统计学意义(P<0.05)。结论:吞咽造影检查是脑卒中后吞咽障碍的优良检查方法,比洼田饮水试验更具有临床意义。
Objective:To explore the clinical study of swallowing contrast examination in patients with dysphagia after stroke.Methods:From July 2017 to July 2018,60 cases of stroke patients were enrolled,all of them were evaluated by Wada drinking water test and swallowing contrast examination,the prognosis judgment and eating guidance after the stage diagnosis and targeted treatment effect of dysphagia were compared.Results:The stage diagnosis rate of dysphagia was 34.32%in drinking water test and 80%in swallowing contrast examination,the difference was statistically significant(P<0.05).The effective rate of prognosis was 33.12%in drinking water test and 63.53%in swallowing contrast examination,the difference was statistically significant(P<0.05).The safe rate of eating instruction in drinking water test was 31.66%,while in swallowing contrast examination was 51.63%,the difference was statistically significant(P<0.05).Conclusion:Swallowing contrast examination is an excellent method to detect dysphagia after stroke,which is more significance than Wada drinking water test.
作者
包忠颖
邓富春
Bao Zhongying;Deng Fuchun(Department of Rehabilitation Medicine,the People's Hospital of Xingyi City,Guizhou Province,Guizhou Xingyi 562400)
出处
《中国社区医师》
2021年第4期93-94,共2页
Chinese Community Doctors
基金
贵州省黔西南州科技支撑项目。
