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目的探讨超声定量评估技术在脑卒中后咽期吞咽障碍评估中的应用价值。方法选取脑卒中后吞咽障碍患者30例为患者组
另选取同期30例健康体检者为健康组。2组受试者均接受咽部超声检查
测量或计算其舌骨至下颌骨间的最大距离、最小距离、所需时间
计算舌骨活动度、距离缩短率、颏舌骨肌活动度、活动时间、活动速度
比较2组间各项指标的差异。应用Spearman秩相关分析法分析超声检测各项指标与其VFSS评分的相关性
并绘制上述各项指标的特征曲线(ROC曲线)
用于评价舌骨和颏舌骨肌活动参数对脑卒中后咽期吞咽障碍严重程度的评估价值。结果患者组的颏舌骨肌活动度、活动时间、活动速度分别为(6.15±1.66)mm、(0.26±0.07)s和(25.52±9.68)mm/s
与健康组比较
差异均有统计学意义(P<0.05);患者组下颌骨至舌骨活动度、活动时间、活动速度、距离缩短率与健康组比较
差异均有统计学意义(P<0.05)。脑卒中后吞咽障碍患者的VFSS等级与其颏舌骨肌活动度呈强相关
与颏舌骨肌活动速度呈中等相关
与舌骨活动时间呈弱相关。结论超声测量参数中的颏舌骨肌活动度、颏舌骨肌活动速度和舌骨活动时间可用于评估脑卒中后咽期吞咽功能障碍的严重程度
其中以颏舌骨肌活动度为最佳评估指标。
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