修改的口吞屏幕:在口服养前进行开放性部分喉切除术的患者吞功能的新床边评估工具:单中心回顾性研究
Qi Huang1, Yihua Gui1, Quanjie You1
1Department of Otolaryngology, Head and Neck Surgery, Ningbo Medical Center Lihuili Hospital, 315000 Ningbo, Zhejiang, China.
Discovery medicine
|January 26, 2024
概括
一个新的床边工具,改进的Gugging吞屏幕 (GUSS),有效地评估吞功能和喉切除术后患者的吸入风险. 这种经过验证的方法有助于确定口服养的准备程度.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 医学诊断 医学诊断 医学诊断
背景情况:
- 缺是部分喉切除术后的一个常见并发症.
- 在这些患者开始口服养之前,准确的吞评估至关重要.
研究的目的:
- 介绍和评估一种新的床头工具的可靠性和有效性,即修改后的Gugging Swallowing Screen (GUSS).
- 评估GUSS在口服养前进行开放性部分喉切除的患者的有效性.
主要方法:
- 对120名喉癌患者的回顾性分析,包括40名接受开放性部分喉切除术的患者.
- 使用修改的GUSS,视频光镜吞研究 (VFSS) 和纤维光学内镜吞评估 (FEES) 的同时评估.
- 评价者之间的可靠性,预测有效性 (与VFSS相比) 和内容有效性 (与VFSS摄入类型相比) 被评估.
主要成果:
- VFSS和FEES显示出强烈的相关性 (rs = 0.952,p < 0.01) 和一致性 (κ = 0.8001.000,p < 0.01).
- 与VFSS相比,修改后的GUSS表现出了卓越的间隔可靠性 (rs = 0.961, p < 0.01; κ = 0.6001.000, p < 0.01) 和预测有效性 (rs = -0.931, p < 0.01; κ = 0.8001.000, p < 0.01).
- 内容有效性证实了与固体/半固体相比,液体的吸入风险更高,验证了GUSS子测试序列.
结论:
- 修改后的GUSS是一个可靠和有效的床头工具,用于患者的开放部分喉切除术.
- 它有效地评估口服养前的吞功能和吸入风险.
- 这种工具有助于临床医生做出关于恢复口服摄入的明智决定.
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