洼田吞咽能力评定法联合电视透视吞咽检查对脑卒中患者营养风险的预测价值

摘要

Objective:To investigate the predictive value of Kubota swallowing ability evaluation (KSAE) combined with video fluoroscopy swallowing study (VFSS) on malnutrition risk of stroke patients.Methods:The clinical data of 176 patients with stroke were collected and retrospectively studied.The risk of malnutrition was assessed by both KSAE and VFSS.All the cases have been followed up for one month.The nutrition situation of the cases were traced.The predictive value in risk for malnutrition by KSAE,VFSS,and KSAE combined with VFSS was analyzed.Result:There were 42 cases with malnutrition risk assessed by KSAE and 41 cases by VFSS.During one month follow-up,there were 38 cases who underwent malnutrition.The predictive sensitivity of KSAE combined with VFSS in parallel and in series were 92.11％ and 55.26％.The predictive specificity were 89.85％ and 97.10％.The predictive accuracy were 90.34％ and 88.07％.The positive predictive value were 71.43％ and 84.00％,and the negative predictive value were 97.63％ and 88.74％.Conclusion:KSAE combined with VFSS has a high predictive value in assessing malnutrition risk in stroke patients.%目的:探讨洼田吞咽能力评定联合电视透视吞咽检查(VFSS)对脑卒中患者营养风险预测价值.方法:回顾性分析我院脑卒中住院患者病例资料176例,均由管床医生采用洼田吞咽能力评定法对其营养不良风险进行评估,然后采用VFSS行吞咽障碍评估.所有入选对象随访1个月,观察营养不良发生情况,并分析单纯洼田吞咽能力评定法、单纯VFSS评定法及两者联合评估对营养不良风险的预测价值.结果:洼田吞咽能力评定法显示,营养不良风险者42例,VFSS结果显示营养不良风险者41例;随访1个月有38例(21.59％)发生营养不良.洼田吞咽能力评定联合VFSS并联和串联的灵敏度分别为92.11％和55.26％;特异度分别为89.85％和97.10％;准确度分别为90.34％和88.07％;阳性预测值分别为71.43％和84.00％;阴性预测值分别为97.63％和88.74％.结论:洼田吞咽能力评定联合VFSS对脑卒中患者住院营养风险预测价值较高.