首页|临床适宜性强的脑卒中后吞咽功能障碍筛查评价方法综述

临床适宜性强的脑卒中后吞咽功能障碍筛查评价方法综述

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吞咽功能障碍严重影响脑卒中患者的生命安全及生活质量,本文总结了临床适宜性强并易于开展的脑卒中后吞咽功能障碍筛查及评价方法,在临床工作中,可以使用这些方法进行初筛,结果呈阳性的患者及病情复杂患者可以使用视频透视吞咽检查(VFSS)或纤维喉镜吞咽功能检查(FESS)进一步评估,以更准确地检查患者脑卒中后吞咽功能障碍的情况.本文有助于临床医务工作者快速掌握脑卒中患者吞咽功能评估方法操作,以及该领域的发展现状和趋势.此外,各层级医疗机构应协调配合,应用循证医学方法,共同设计及验证本土化的脑卒中后吞咽功能障碍筛查路径及全面的评价方案,以更合理高效地筛查吞咽障碍,更好地服务于患者.
A review of clinically appropriate screening and assessment methods for dysphagia after stroke
Dysphagia substantially affects the life safety and quality of life of patients after stroke.This article summarizes clinically appropriate and easily implementable screening and assessment methods for dysphagia after stroke.In clinical prac-tice,these methods can be used for preliminary screening.Patients with positive results and those with complex conditions can be further evaluated using the video fluoroscopic swallowing study(VFSS)or fiberoptic endoscopic evaluation of swallo-wing(FEES)to more accurately examine the condition of dysphagia after stroke.This article helps clinical medical workers quickly master the operation of swallowing function assessment methods for stroke patients,as well as the current status and trends in this field.Moreover,medical institutions at all levels should coordinate and cooperate,apply evidence-based medical methods,and jointly design and verify localized screening pathways and comprehensive evaluation plans for dyspha-gia after stroke,to more reasonably and efficiently screen for dysphagia and better serve patients.

StrokeDysphagiaScreeningAssessment

周莉、徐敏杰、李宗衡、常静玲

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北京中医药大学东直门医院康复科,北京 100700

北京中医药大学东直门医院神经内科,北京 100700

脑卒中 吞咽功能障碍 筛查 评价

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(10)