在修改的海研究 (MBSS) 协议中包含加厚液体是否会影响消化分数?
Ryan J Burdick1,2,3, Jenni Wu4,5,6, Ella Aldridge4,5,6
1Department of Medicine, Division of Geriatrics and Gerontology, University of Wisconsin-Madison, 1685 Highland Avenue, 5158 Medical Foundation Centennial Building, Madison, WI, 53705-2281, USA. rjburdick@wisc.edu.
Dysphagia
|October 23, 2025
概括
吞毒性的动态成像等级 (DIGEST) 工具显示了稳定的结果,无论在修改的吞研究 (MBSSs) 中是否使用加厚液体. 在某些情况下,包括加厚液体可能会略微改变安全等级,但对于 DIGEST 的有效性来说并不重要.
科学领域:
- 吞障碍的研究研究
- 临床评估工具 临床评估工具
- 放射学和成像学 放射学和成像学
背景情况:
- 吞毒性动态成像等级 (DIGEST) 是一种经过验证的工具,用于在修改的吞研究 (MBSSs) 中评估吞功能.
- 最初的DIGEST验证并不经常包括加厚液体.
- 确保DIGEST在不同临床方案中的稳定性对于可靠的应用至关重要.
研究的目的:
- 评估DIGEST等级的稳定性,当从含有或不含加厚液体的MBSS协议中衍生出来时.
- 为了确定加厚液体是否会影响喉吞功能的安全性和效率分级,使用DIGEST.
- 评估在核心MBSS协议中加厚液体的必要性,用于DIGEST应用.
主要方法:
- 对118名参与者的MBSS进行回顾性分析.
- 四名可靠的评级人员使用包括薄,加厚,布丁和固体球体在内的主协议评估了吞功能.
- DIGEST等级在四个玻尿酸条件下进行了比较:核心协议,核心加轻度厚,核心加中度厚,核心加两种加厚液体.
主要成果:
- 从有加厚液体和没有加厚液体的协议中得出的DIGEST等级之间观察到近乎完美的到完美的一致性 (PABAK 0.83-1.00).
- 在稀有情况下,由于加厚的液体而改变等级,这种变化总是增加一等级.
- 当包括加厚液体时,吞安全等级更容易变化,而不是效率等级.
结论:
- 在 MBSS 中的核心 DIGEST 协议中,加入加厚液体似乎不必要.
- 临床医生经常使用加厚液体应注意DIGEST等级的潜在轻微增加,特别是为了安全.
- DIGEST在不同的玻尿酸协议中表现出稳定性,支持其在各种临床环境中使用.
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