颏下高频超声波检查对儿童口咽期吞咽障碍评估的价值

发布时间：2018-03-30 01:27

本文选题：吞咽障碍　切入点：儿童　出处：《郑州大学学报(医学版)》2017年04期

【摘要】：目的:探讨颏下高频超声波(SUS)检查在儿童口咽期吞咽障碍评估中的价值。方法:选取20名口咽期吞咽障碍的儿童(8名依赖管饲进食,12名常规经口进食)和25名吞咽功能正常儿童,应用SUS测量吞咽5 m L水时舌肌厚度变化值和舌骨位移幅度。以经口摄食功能量表(FOIS)评估结果为参照,绘制ROC,评估舌肌厚度变化值和舌骨位移幅度对管饲依赖性吞咽障碍的诊断效能。结果:口咽期吞咽障碍的儿童舌肌厚度变化值和舌骨位移幅度均大于正常儿童(P0.05)。以舌肌厚度变化值诊断管饲依赖性吞咽障碍的ROC的AUC(95%CI)为0.853(0.689~1.000),诊断界值为0.95 cm时灵敏度和特异度分别为73.0%和87.5%,约登指数为0.605。以舌骨位移幅度诊断管饲依赖性吞咽障碍的ROC的AUC(95%CI)为0.829(0.609~1.000),诊断界值为1.35 cm时灵敏度和特异度分别为86.5%和75.0%,约登指数为0.615。结论:SUS检查能够辅助评估口咽期吞咽障碍儿童的吞咽功能。
[Abstract]:Objective: to evaluate the value of submental high frequency ultrasound (SUSS) in the evaluation of oral and pharyngeal dysphagia in children.Methods: 20 children with oropharyngeal dysphagia (8 children with oral dysphagia) and 25 children with normal swallowing function were selected. The changes of tongue muscle thickness and hyoid displacement were measured by SUS.According to the results of FOIS, the ROCs were drawn to evaluate the diagnostic efficacy of tongue muscle thickness and hyoid displacement in patients with tube feeding dependent dysphagia.Results: the changes of tongue muscle thickness and hyoid displacement in children with oropharyngeal dysphagia were higher than those in normal children (P 0.05).The AUC 95 CI of ROC diagnosed by tongue muscle thickness was 0.853 ~ 0.689 ~ 1.000, and the sensitivity and specificity were 73.0% and 87.5% respectively when the diagnostic threshold was 0.95 cm, and the Jordan index was 0.605.The AUC 95 CI of ROC diagnosed by hyoid displacement amplitude was 0.829 ~ 0.609 ~ 1.000, and the sensitivity and specificity were 86.5% and 75.0% respectively when the diagnostic threshold was 1.35 cm, and the Yorden index was 0.615.Conclusion: SUS examination can be used to evaluate swallowing function in children with oropharyngeal dysphagia.
【作者单位】：郑州大学第三附属医院儿童康复科;郑州大学医学院临床医学系;
【基金】：河南省科技厅科技攻关计划项目142102310334
【分类号】：R445.1;R748

【相似文献】