Assessment of dysphagia: report of 37 cases
10.3760/cma.j.issn.1673-0860.2012.11.003
- VernacularTitle:吞咽障碍的临床评估
- Author:
Jian WANG
1
;
Wu-Yi LI
;
Zhu-Hua ZHANC
;
Yu CHEN
;
Hong HUO
;
Da-Hai YANG
;
Jian-Han LIU
;
Chun-Xiao XU
Author Information
1. 100730,中国医学科学院北京协和医学院北京协和医院耳鼻咽喉科
- Keywords:
Deglutition disorders;
Diagnostic techniques and procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(11):889-893
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the assessment methods of dysphagia.Methods The data of 37patients with dysphagia were retrospectively analyzed.These patients took the Kubota drinking test,Tengdao's evaluation,videofluoroscopic swallowing study(VFSS)and fibroptic endoscopic evaluation of swallowing (FEES).Results Fourteen out of thirty-seventh patients showed abnormal results during Kubota drinking test.Tengdao's evaluation results showed that 29/37 patients were abnormal.There 27/37and 33/37 patients showed abnormalities in positive-aspiration score and swallow dysfunction score of VFSS.The number of abnormal patients in aspiration score of FEES was 19/21.The Kappa values were 0.137,0.416 between Kubota drinking test.Tengdao's evaluation and VFSS.The FEES was measured against the VFSS for sensibility,specificity,positive predictive value,and negative predictive value,the values were 88.9％,66.7％,94.1％ and 50.0％.Conclusions Kubota drinking test and Tengdao's evaluation can be applied for screening purpose and evaluating result after treatment;VFSS and FEES can be used as more accurate assessments,they can study the dysphagia's character,position and severity.The combination of a variety of dysphagia evaluation methods is the most important basis for diagnosis and treatment of deglutition disorders.
