吞咽功能障碍评估工具在脑卒中患者中的应用价值

Application Value of Swallowing Dysfunction Assessment Tool in Stroke Patients

目的评价吞咽功能障碍评估工具应用于脑卒中患者的价值。方法对本院2016年3月—2017年11月收治的98例脑卒中患者进行吞咽功能障碍评估。结果患者入院时进行洼田饮水试验及吞糊测试通过率分别为37.76%、68.85%,出院前通过率分别为80.61%、89.47%。出院前通过率显著高于入院时(P<0.05);指导前患者洼田饮水试验误吸率8.11%,指导后误吸率2.70%,无显著差异(P>0.05),吞糊测试指导前误吸率37.84%,指导后误吸率9.52%。结论吞咽功能障碍评估工具对脑卒中患者应用价值高,可提高患者生活质量。

Objective To observe the application of dysphagia assessment tool in stroke patients. MethodsThe swallowing dysfunction in 98 stroke patients admitted to our hospital from March 2016 to November 2017 were evaluated. Results The rate of passing water test and smear test at admission were 37.76% and 68.85%,respectively,and the passing rates before discharge were 80.61% and 89.47%,respectively. The rate of passing before discharge was significantly higher than that at admission(P<0.05). The rate of aspiration of Kubota drinking water test was 8.11% before induction and 2.70% after induction,without significant difference(P>0.05). The rate of aspiration before and after intervention were 37.84% and 9.52%. Conclusion The swallowing dysfunction assessment tool has high value in patients with stroke and can improve the quality of life of patients.