Application of fiberoptic endoscopic examination of swallowing combined with dye test in silent aspiration after stroke
10.3969/j.issn.1006-9771.2023.02.012
- VernacularTitle:软式喉内窥镜结合染料试验在卒中后隐性误吸中的应用
- Author:
Hui ZHOU
1
;
Zunke GONG
1
;
Gengrun TIAN
2
;
Chengchen GU
1
;
Shiyan WANG
3
;
Mi WANG
3
Author Information
1. School of Graduate, Bengbu Medical College, Bengbu, Anhui 233030, China
2. The Second Clinical Medical School, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China
3. Rehabilitation Department, Xuzhou Central Hospital, Xuzhou, Jiangsu 221000, China
- Publication Type:Journal Article
- Keywords:
dysphagia;
fiberoptic endoscopic examination of swallowing;
videofluoroscopic swallowing study;
silent aspiration;
pharyngeal contractile movement
- From:
Chinese Journal of Rehabilitation Theory and Practice
2023;29(2):231-237
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the diagnostic value of fiberoptic endoscopic examination of swallowing (FEES) combined with dye test in patients with post-stroke dysphagia and silent aspiration. MethodsFrom December, 2021 to June, 2022, 50 stroke patients in the Rehabilitation Department of Xuzhou Central Hospital were selected. They were assessed with FEES and videofluoroscopic swallowing study (VFSS), and compared. ResultsThe detection rate of aspiration was higher with FEES than with VFSS (χ2 = 7.000, P < 0.05), and especially for liquid food (χ2 = 4.000, P < 0.05). There was a good consistency when consuming paste food (κ = 0.941, P < 0.001) and solid food (κ = 0.779, P < 0.001). There was a good consistency in the food residue site between two methods (κ = 0.818, P < 0.001), as well as for all the three food types (κ ≥ 0.862, P < 0.001). There was no significant difference in the scores of Penetration Aspiration Scale of three food types between two methods (Z < 0.667, P > 0.05). ConclusionFEES combined with dye test can be used for evaluating silent aspiration after stroke.
