[1]熊华春),黄姣姣),肖 宁),等.颏下高频超声波检查对儿童口咽期吞咽障碍评估的价值*[J].郑州大学学报(医学版),2017,(04):491-494.[doi:10.13705/j.issn.1671-6825.2017.04.029]
 XIONG Huachun),HUANG Jiaojiao),XIAO Ning),et al.Value of submental ultrasonography for assessing oropharyngeal swallowing disorder in children[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2017,(04):491-494.[doi:10.13705/j.issn.1671-6825.2017.04.029]
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颏下高频超声波检查对儿童口咽期吞咽障碍评估的价值*()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2017年04期
页码:
491-494
栏目:
应用研究
出版日期:
2017-07-15

文章信息/Info

Title:
Value of submental ultrasonography for assessing oropharyngeal swallowing disorder in children
作者:
熊华春1)黄姣姣1)肖 宁2)王 军1)#朱登纳1)高志萍1)赵云霞1)
1)郑州大学第三附属医院儿童康复科 郑州 450052;
2)郑州大学医学院临床医学系 郑州 450052
Author(s):
XIONG Huachun1) HUANG Jiaojiao1) XIAO Ning2) WANG Jun1) ZHU Dengna1) GAO Zhiping1) ZHAO Yunxia1)
1)Department of Children Rehabilitation,the Third Affiliated Hospital,Zhengzhou University,Zhengzhou 450052;
2)Department of Clinical Medicine, Medical School, Zhengzhou University, Zhengzhou 450052
关键词:
吞咽障碍 儿童 颏下高频超声波检查
Keywords:
dysphagia children submental ultrasonography
分类号:
R493
DOI:
10.13705/j.issn.1671-6825.2017.04.029
摘要:
目的:探讨颏下高频超声波(SUS)检查在儿童口咽期吞咽障碍评估中的价值。方法:选取20名口咽期吞咽障碍的儿童(8名依赖管饲进食,12名常规经口进食)和25名吞咽功能正常儿童,应用SUS测量吞咽5 mL水时舌肌厚度变化值和舌骨位移幅度。以经口摄食功能量表(FOIS)评估结果为参照,绘制ROC,评估舌肌厚度变化值和舌骨位移幅度对管饲依赖性吞咽障碍的诊断效能。结果:口咽期吞咽障碍的儿童舌肌厚度变化值和舌骨位移幅度均大于正常儿童(P<0.05)。以舌肌厚度变化值诊断管饲依赖性吞咽障碍的ROC的AUC(95%CI)为0.853(0.689~1.000),诊断界值为0.95 cm时灵敏度和特异度分别为73.0%和87.5%,约登指数为0.605。以舌骨位移幅度诊断管饲依赖性吞咽障碍的ROC的AUC(95%CI)为0.829(0.609~1.000),诊断界值为1.35 cm时灵敏度和特异度分别为86.5%和75.0%,约登指数为0.615。结论:SUS检查能够辅助评估口咽期吞咽障碍儿童的吞咽功能。
Abstract:
Aim: To explore the value of submental ultrasonography(SUS)examination in the assessment of oropharyngeal swallowing disorder in children.Methods: A total of 20 children with oropharyngeal swallowing disorder(8 cases of nasal feeding, 12 cases of conventional oral feeding)and 25 normal children accepted SUS examination, the change of the thickness of the tongue muscle and the hyoid bone displacement range when swallowing 5 mL water were measured. According to the results of the dysphagia severity assessed by the functional oral intake scale(FOIS), the diagnostic efficacy of the change of tongue muscle thickness and the hyoid bone displacement range for tube-feeding-dependent dysphagia were assessed using ROC.Results: The change of tongue muscle thickness and the hyoid bone displacement range of the children with oropharyngeal swallowing disorder were higher than those of the normal children(P<0.05). AUC(95%CI) of the change of tongue muscle thickness of ROC was 0.853(0.689-1.000),and the sensitivity, specificity and Youden index were 73.0%,87.5% and 0.605 when the cut-off point was 0.95 cm. AUC(95%CI) of the hyoid bone displacement range of ROC was 0.829(0.609-1.000),and the sensitivity, specificity and Youden index were 86.5%,75.0% and 0.615 when the cut-off point was 1.35 cm.Conclusion: SUS examination can assist to assess the swallowing function of children with oropharyngeal swallowing disorder.

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备注/Memo

备注/Memo:
*河南省科技厅科技攻关计划项目 142102310334
#通信作者,女,1963年7月生,博士,主任医师,教授,研究方向:小儿神经损伤与康复,E-mail:wj3028@163.com
更新日期/Last Update: 2017-07-20