脑卒中吞咽障碍ICF核心要素的临床应用研究

发布时间：2018-03-24 17:56

本文选题：国际功能　切入点：残疾和健康分类　出处：《中南大学》2014年硕士论文

【摘要】：目的：探讨并筛选出中国版的脑卒中后吞咽障碍的ICF核心要素量表内容。对象和方法：选择脑卒中恢复期、后遗症期吞咽障碍的患者30例,采用Threats提炼的60项吞咽障碍ICF综合类目、Barthel指数、反复唾液吞咽实验、洼田饮水实验、Frenchay构音障碍评定、MMSE简易智能精神状态量表、MoCA评定量表,运用以上7个量表对入组患者进行临床评估。将吞咽障碍ICF综合类目的评定结果分别与其他6个量表用多元回归逐步分析法进行相关性分析。将60项吞咽障碍ICF综合类目的评定结果用“最小的绝对缩减和变量选择算子”(least absoluteshrinkage and selection operator, LASSO)分析方法进行分析。最后结合以上两种分析方法得出的结果进行分析、讨论。结果：研究最终得出与各量表相关性较高的ICF类目共21项。其中身体功能部分13个,身体结构部分1个,活动和参与部分3个,环境因素部分4个。以及一个由39个吞咽障碍ICF核心类目为节点的功能地形图。结论：初步确定了脑卒中吞咽障碍ICF核心类目21个,为吞咽障碍的全面整体评估提供初步依据。吞咽障碍功能地形图可以用来作为指导工具,发现了“b140注意力功能”、“b510.1咬”为众多复杂关系的关键点、治疗靶心。
[Abstract]:Objective: to investigate and screen out the Chinese version of the ICF Core Factor scale for dysphagia after stroke. Objects and methods: thirty patients with dysphagia in convalescence and sequelae of stroke were selected. 60 items of dysphagia ICF complex category Barthel index extracted by Threats were used in repeated salivary swallowing test. Evaluation of Frenchay dysarthria and MMSE simple Mental State scale (MMSE) and MoCA rating scale (MMSE). The clinical evaluation of the patients with dysphagia was carried out by using the above 7 scales. The correlation analysis was made between the results of ICF comprehensive purpose evaluation of swallowing disorders and the other 6 scales by multivariate regression stepwise analysis. 60 items of ICF with dysphagia were analyzed. The evaluation results of comprehensive purpose are analyzed by the least absoluteshrinkage and selection operator (LASSO), the least absolute reduction and variable selection operator. Finally, the results obtained from the above two methods are analyzed. Discussion. Results: a total of 21 ICF items with high correlation with each scale were obtained, including 13 body function parts, 1 body structure part, 3 activities and participation parts. Environmental factors part 4. And a functional topographic map with 39 core ICF categories of dysphagia as nodes. Conclusion: 21 core ICF categories of stroke dysphagia were identified, which provide a preliminary basis for the overall assessment of dysphagia. The functional topographic map of swallowing disorder can be used as a guidance tool. "b140 attention function" and "b 510.1 bite" were found to be key points in many complex relationships to treat the target.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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