急性脑梗死后吞咽障碍床旁评估的临床-研究

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1、ClinicalStudyonBedsideAssessmentofDysphagiainPatientswithAcuteCerebralInfarctionAbstractfunctionwiththevarianceof14．235％．2：acceleratedbreathing，laryngealelevationandsalivation，showingthedisabilityofthemusclefunctionofpharyngealconstrictors，musclesaroundlaryn

2、geal，orbicularisotismusclewiththevarianceof12．048％．3；cough，chokingandthroatclearance,theycomefromthestimulationoffoodinpharyngealorlaryngeal，thevariancewas11．213％．4：voicechangeandnasalreflux，showingthedisabilityoflevatorvelipalatini，tensorvelipalatiniandmusc

3、ulusuvulaewiththevarianceof9．886％．5：disabilityofmotorspeechfunction，aswellasmotoraphasia,theresultWasthatitactastheindependentfactorfordysphagia，thevariancewas9．453％．6：gagreflexanddelayedpharyngealswallow，disabilityofgagreflexmaymake如odstayintheoralcavi锣andi

4、ntheimagingmaterialswecouldfindthedelayedpharyngealswallow，SOtheyareofthesamefactor州ththevarianceof8．458％．7：dysarthriaandfacialmuscleparalysis，facialmuscleparalysismayresulttodysarthria，andbothofthemcoulddestroythetonguemotorfunctiontOrollfoodtobolusandpassi

5、ton，sometimesevencombinedwi也ageusia，thevarianceWas8．437％。2．ComparethethreeassessmentsSSA，SIG，SSA&SIG，Thesensitivity，negativepredictvalueandpositivelikelihoodratioofSSA&SlGwerebetter(92．30％，O．927andO．12)。弧lespecificity，positivepredictvalue，positivelikelihoodr

6、atio，correlationsandYouden’SindexofSIGwerebetter(93。84％，0．918，14．05，0。905and0．804)。3。弧eresultsofMcNemartestswerethatthedifferencebetweenSSAmadVFSSorSIGandVFSShadnotreachedthestatisticaldifference(P=0．238、O．549)，thedifferencebetweenSSA&SIGandVFSShadreachedtha

7、t(P=O．031)。thedifferencebetweenSIGandtheothertwoassessmentshadreachedthestatisticaldifference(P=0．035，0。000)．TheresultofSSA&SIGwithSSAhadnotreachedthestatisticaldifference(p=O．125)．nleKappaofSIGandVFSSwasO．809(P=0。055)betterthantheothers．Conclusion1．BothSSAa

8、ndSIGareeffectiveindysphagiascreening．Thedifferencesofthemtogoldenstandardhadnotreachedthestatisticaldifference．2．弧edifferenceofSSAandSIGhadreachedthestatisticaldifference，SOthetwoassessmentseff