徐伟文,陈洋,韩允,等.ICF-d560与恢复期脑卒中患者吞咽功能的相关性分析[J].中华物理医学与康复杂志,2021,43(7):607-610
扫码阅读全文
|
| ICF-d560与恢复期脑卒中患者吞咽功能的相关性分析 |
|
| |
| DOI：10.3760/cma.j.issn.0254-1424.2021.07.006 |
| 中文关键词: 国际功能、残疾、健康分类（ICF） d560 脑卒中 改良洼田饮水试验 吞咽障碍 |
| 英文关键词: International Classification of Functioning, Disability and Health d560 Stroke Wada drinking water test Dysphagia |
| 基金项目:国家重点研发计划课题（2020YFC2006604） |
|
| 摘要点击次数: 2396 |
| 全文下载次数: 3564 |
| 中文摘要: |
| 目的 探讨国际功能、残疾和健康分类（ICF）d560条目与恢复期脑卒中患者吞咽功能的相关性。 方法 选取2019年2月至2020年5月在康复科住院的伴吞咽障碍的恢复期脑卒中患者140例，分别采用ICF-d560和改良洼田饮水试验评估吞咽障碍。应用线性回归中的Enter法分析各临床危险因素对吞咽障碍筛选结果的影响，应用Spearman相关分析探讨ICF-d560与改良洼田饮水试验的相关性。 结果 应用ICF-d560进行吞咽障碍的筛选，轻度障碍10.0%，中度障碍37.1%，重度障碍29.3%，完全障碍23.6%；应用改良洼田饮水试验筛选，轻度障碍44.3%，中度障碍31.4%，重度障碍24.3%。整体上ICF-d560与改良洼田饮水试验具有相关性（RS=0.864,P<0.01），两种量表的相关程度还与不同卒中类型、年龄、性别及脑卒中危险因素有关。其中脑梗死组（RS=0.828）高于脑出血组（RS=0.883），女性组（RS=0.862）略高于男性组（RS=0.840）；各年龄阶段40～65岁、66～79岁、80～99岁的相关系数分别为0.757、0.847、0.920，随年龄增长而逐渐增大；两种量表在脑卒中危险因素糖尿病、高血压上的相关系数分别为0.845、0.837。 结论 ICF-d560和改良洼田饮水试验具有较好的相关性，可作为一种基于ICF理论框架的吞咽功能筛查工具。 |
| 英文摘要: |
| Objective To investigate the correlation between item d560 of the International Classification of Functioning, Disability and Health (ICF) and the swallowing function of convalescing stroke patients. Methods A total of 140 convalescent stroke survivors were evaluated for dysphagia using the ICF-d560 and the modified Watian drinking water test. Linear regression was used to analyze the influence of clinical factors when choosing a swallowing function assessment scale. Spearman correlation was computed to explore the correlation between ICF item d560 and the modified Watian drinking water test. Results According to the ICF-d560 results, 10% of the patients had a mild disorder, with another 37.1% moderate, 29.3% severe and 23.6% completely dysphagic. The corresponding percentages according to the improved Watian drinking water test were 44.3% mild, 31.4% moderate and 24.3% severe. The total correlation coefficient between the two sets of results was 0.86, which was related to the stroke type, age, gender and stroke risk factors. The correlation coefficient of the cerebral infarction group was significantly higher than the cerebral hemorrhage group′s coefficient, and that of the women was slightly higher than that of the men. The strength of the correlation increased with age. The correlation coefficient was 0.84 among both diabetics and hypertension sufferers. Conclusions Results from the ICF-d560 and the modified Wada drinking water test correlate well, which can provide a screening tool for swallowing function based on the ICF theoretical framework. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
