脑卒中后患者吞咽障碍的评估与筛查方法综述

Advances in evaluation and screening for post-stroke dysphagia

卒中后应尽早对患者进行吞咽障碍(post-stroke dysphagia,PSD)的筛查,有利于预防吞咽障碍相关并发症的发生。本文从PSD的床旁评估与筛查、实验室评估与筛查、评估与筛查注意事项三个方面进行了综述,以期指导临床实践。

Post-stroke dysphagia （PSD） is a common problem in patients with stroke, and it often accompanies with a variety of complications, which not only has dramatic impacts on the prognosis of patients and decrease their life quality, but also bring major burdens to family and society. Therefore, patients should be screened for dysphagia as soon as possible after stroke and early rehabilitative training should also be carried out, which may be helpful for preventing the occurrence of dysphagia-related complications. This article reviews the bedside assessment and screening of post-stroke dysphagia, laboratory assessment and screening, and the strategy of PSD evaluation and screening, in order to guide clinical practice.