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IR@PKUHSC  > 北京大学第一临床医学院  > 神经内科  > 期刊论文
学科主题: 神经病学
题名:
纤维鼻咽喉镜吞咽功能检查对脑卒中后吞咽障碍的诊断价值
其他题名: Diagnostic value of fiberoptic endoscopic examination of swallowing in dysphagia after stroke SUN
作者: 孙伟平1; 胡晓煜1; 阿依古丽1; 艾山1; 宋鲁新1; 黄一宁1
关键词: 脑血管意外 ; 吞咽障碍 ; 喉镜检查 ; Cerebrevascular accident ; Deglutition disorders ; Laryngoscopy
刊名: 中华神经科杂志
发表日期: 2008
DOI: 10.3321/j.issn:1006-7876.2008.10.009
卷: 41, 期:10, 页:683-686
收录类别: 中国科技核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 评价纤维鼻咽喉镜吞咽功能检查(fiberoptic endoscopic examination of swallowing,FEES)对于脑卒中后吞咽障碍的诊断价值.方法 对22例急性脑梗死患者进行吞钡电视透视(videofluoroseopy,VF)检查和FEES.以VF检查为金标准,计算FEES对于急性脑卒中患者误吸、渗漏、穿透和潴留诊断的灵敏度、特异度、阳性预测值和阴性预测值.结果 FEES对于穿透诊断的灵敏度为83.3%,特异度为90.0%;对误吸诊断的灵敏度、特异度均为90.9%;对潴留诊断的灵敏度为100%,特异度为77.8%;对渗漏诊断的灵敏度为73.3%,特异度为71.4%.结论 FEES对于急性脑卒中患者穿透、误吸和潴留诊断的可靠性较好,是评估脑卒中后吞咽障碍的有力工具. Objective To evaluate the diagnostic value of fibemptic endoscopic examination of swallowing (FEES) in dysphagia after stroke. Methods Twenty-two patients with acute ischemic stroke were given both FEES and videofluoroseopy(VF). The FEES was then measured against the videofluoroscopy study for sensitivity, specificity, positive predictive value and negative predictive value for determining aspiration, spillage, penetration and residue. Results Sensitivity for penetration, aspiration, residue and spillage were 83.3%, 90. 9%, 100% and 73.3%, respectively. Specificity for these 4 parameters were 90. 0%, 90. 9%, 77. 8% and 71.4%, respectively. Conclusions FEES may detect penetration, aspiration and residue reliably in acute stroke patients. FEES is a valid and valuable tool for evaluating dysphagia after stroke.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/41213
Appears in Collections:北京大学第一临床医学院_神经内科_期刊论文

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作者单位: 1.北京大学第一医院神经内科,100034
2.新疆医科大学第二附属医院神经内科
3.北京大学第一医院,医学影像科
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