中国现代医学杂志2025，Vol.35Issue(6)：91-96,6.DOI:10.3969/j.issn.1005-8982.2025.06.015
电子鼻咽喉镜联合改良容积黏度吞咽测试在脑梗死伴吞咽障碍患者康复中的应用
Application of video nasopharyngoscopy combined with modified Volume-Viscosity Swallow Test in the rehabilitation of patients with cerebral infarction and dysphagia
摘要
Abstract
Objective To analyze the application of video nasopharyngoscopy combined with the Chinese Version of modified Volume-Viscosity Swallow Test(VVST-CV)in the rehabilitation of patients with cerebral infarction and dysphagia.Methods The 62 patients with cerebral infarction complicated by dysphagia admitted to the Department of Neurology of Wenzhou Central Hospital during June 2022 to June 2024 were selected.They were randomly assigned to the control group(conventional feeding plan)and the study group(feeding plan based on video nasopharyngoscopy combined with VVST-CV results),with 31 cases in each group.After 3 weeks of intervention,the rehabilitation outcome,gastric tube retention rate,pulmonary infection rate and proportion of patients with extubation time＞14 days in the two groups were analyzed.The swallowing function[Standardized Swallowing Assessment(SSA)scores,Functional Oral Intake Scale(FOIS)levels,Penetration-Aspiration Scale(PAS)scores,Murray Secretion Scale(MSS)levels]and levels of serum indicators[albumin(ALB),hemoglobin(Hb),C-reactive protein(CRP)]were recorded before and after rehabilitation treatment.Results The overall effective rate in the study group was higher than that in the control group(P＜0.05),while the pulmonary infection rate and proportion of patients with extubation time＞14 days in the study group were lower than those in the control group(P＜0.05).There was no significant difference in the gastric tube retention rate between the two groups(P＞0.05).The differences in SSA scores and levels of FOIS,PAS,and MSS as well as the Hb and CRP levels before and after treatment in the study group were greater than those in the control group(P＜0.05).The difference in the ALB level before and after treatment was not different between the two groups(P＞0.05).Conclusions Video nasopharyngoscopy combined with VVST-CV can improve the rehabilitation outcomes of cerebral infarction patients with dysphagia,reduce the risk of pulmonary infection,shorten the time to extubation,and enhance the swallowing function,without significantly reducing the serum Hb level.关键词
脑梗死/吞咽障碍/电子鼻咽喉镜/改良容积黏度吞咽测试/康复Key words
cerebral infarction/dysphagia/video nasopharyngoscopy/modified Volume-Viscosity Swallow Test/rehabilitation分类
医药卫生引用本文复制引用
金洁,徐时乐,潘学威,陆琦,郑靖慷..电子鼻咽喉镜联合改良容积黏度吞咽测试在脑梗死伴吞咽障碍患者康复中的应用[J].中国现代医学杂志,2025,35(6):91-96,6.基金项目
浙江省医药卫生科技计划项目(No:2023KY319) （No:2023KY319）
温州市科研项目(No:Y20220829) （No:Y20220829）
