多伦多床旁吞咽筛查试验在急性期脑卒中后吞咽障碍筛查中的筛检效果评价

发布时间：2018-04-21 07:18

  本文选题：脑卒中 + 吞咽障碍　； 参考：《中国康复医学杂志》2017年11期

【摘要】：目的:探讨多伦多床旁吞咽筛查试验(TOR-BSST)在急性期脑卒中后吞咽障碍筛查中的筛检效果。方法:采用TOR-BSST对148例急性期脑卒中后住院患者进行筛查评估,筛查当天或24小时之内行吞咽障碍诊断金标准——视频透视检查(VFSS),以金标准为参考标准,用灵敏度、特异度、阳性预测值、阴性预测值、阳性似然比、阴性似然比进行筛检效果评价。结果:TOR-BSST(+)共46例(31.08%),TOR-BSST(-)共102例(68.92%),结果显示TOR-BSST判断吞咽障碍的灵敏度为61.8%,特异度为87.1%,阳性预测值为73.9%,阴性预测值79.4%,阳性似然比为4.7907,阴性似然比0.4386。结论:与TOR-BSST研发原作者的研究相比较,此研究结果显示筛检效果不够理想,两者的研究环境与使用环境均有差距,未来需要更严谨的研究方法学设计、更多的吞咽障碍评估方法的引进或开发,且加强VFSS评价的准确性是关键。
[Abstract]:Objective: to investigate the screening effect of Toronto bedside swallowing test (TOR-BSST) on dysphagia after acute stroke. Methods: TOR-BSST was used to screen and evaluate 148 inpatients with acute stroke. On the same day or within 24 hours of screening, the gold standard of dysphagia, video fluoroscopy, was used as the reference standard, and the sensitivity and specificity were used. Positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio were evaluated. Results there were 46 cases of TOR-BSST (31.08TOR-BSST-TOR-BSST-10). The results showed that the sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of TOR-BSST were 61.8, 87.1, 79.4, 4.7907 and 0.4386, respectively. Conclusion: compared with the research by the authors of TOR-BSST, the results of this study show that the screening effect is not satisfactory, the research environment and the application environment of both are different, and more rigorous research methodology design is needed in the future. It is crucial to introduce or develop more evaluation methods for dysphagia and to enhance the accuracy of VFSS evaluation.
【作者单位】： 中南大学湘雅二医院康复医学科;香港中文大学医学院耳鼻咽喉-头颈外科学系言语治疗科;山西省长治医学院附属和平医院康复科;
【分类号】：R493;R743.3
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本文编号：1781439