评估中风后食障碍的各种尺度之间的一致性
Wen-Ching Chen1, Chung-Wei Lin2,3, Meng-Ni Wu1
1Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No.100 , Tzyou 1st Road, Kaohsiung City, 807, Taiwan.
概括
脑卒中后食障碍 (PSD) 评估尺度显示不同的一致性. 视频内镜 (VE) 为视频光镜 (VF) 提供了一个可行的替代方案,用于评估PSD严重程度,当VF不可行时.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 语音语言病理学 语言病理学
背景情况:
- 脑卒中后失足症 (PSD) 是一种影响中风患者结果的普遍并发症.
- 准确评估PSD严重程度对于有效的管理和康复至关重要.
- 目前的PSD评估尺度缺乏标准化的一致性,需要进行比较分析.
研究的目的:
- 为了调查用于评估中风后食障碍 (PSD) 的各种尺度之间的一致性.
- 评估不同评估方法之间的一致性,包括视频光镜 (VF) 和视频内镜 (VE).
- 为了确定PSD患者常用的消化障碍评估尺度的可靠性.
主要方法:
- 招募了49名患有中风后食障碍 (PSD) 的患者队列.
- 功能性口服摄入量表 (FOIS) 和缺食症严重程度表 (DSS) 通过视频光镜 (VF) 和视频内镜 (VE) 进行了评估.
- 额外的评估包括Ohkuma问卷,饮食评估工具-10和重复的唾液吞测试.
主要成果:
- 基于视频内镜的FOIS (VE-FOIS) 与基于VF的FOIS (VF-FOIS) (κ=0.625) 显示出相当大的一致性.
- 基于视频内镜的DSS (VE-DSS) 与基于VF的DSS (VF-DSS) 显示出相当的一致性 (κ=0.381).
- 在统计学上,FOIS和DSS之间的协议是显著的,并且可以在VE和VF评估中进行比较.
结论:
- 无论是VE-FOIS还是VE-DSS都显示出与VF的统计学上显著一致,支持VE作为可靠的评估工具.
- 虽然VF被认为是黄金标准,但其侵入性和设备依赖性是限制.
- 视频内镜 (VE) 提供了一种实用且具有统计学意义的替代方案,用于评估中风后的消化障碍,当VF无法访问或不合适时.
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