Advances in imaging studies of swallowing assessment in stroke patients
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摘要: 吞咽障碍是卒中患者不良结局的独立危险因素。影像学检查是吞咽障碍的主要检查和评价方法,可明确造成吞咽障碍的病变部位,指导治疗。深入了解吞咽障碍的影像学评估方法,将康复护理特色融入吞咽障碍的多学科协作诊疗模式中,有助于减少脑卒中患者并发症、提高脑卒中患者护理效果。视频透视吞咽检查是检查吞咽功能最常用的方法,是吞咽障碍临床评估的“金标准”;超声检查作为辅助检查手段,用于评估吞咽障碍患者的吞咽功能;CT具有良好的空间和时间分辨率,可三维动态显示食团和吞咽器官的运动;MRI成像可显示吞咽障碍的病灶和相关的脑功能网络。这些影像学技术可为吞咽障碍的康复护理提供依据。Abstract: Dysphagia is just an independent risk factor for adverse outcomes in stroke patients. Imaging examination is the main inspection and evaluation method for dysphagia, which can identify lesions that cause dysphagia and guide treatment. It is required to have an in-depth understanding of imaging evaluation methods for dysphagia in order to incorporate the characteristics of rehabilitation nursing into the multidisciplinary collaborative diagnosis and treatment model for dysphagia, which conduce to reduce the complications and improve the nursing effect of stroke patients. Video fluoroscopic swallowing examination is the most commonly used method to check swallowing function, and it is the "gold standard" for clinical evaluation of dysphagia; Ultrasound examination is used as an auxiliary examination method to assess the swallowing function of patients with dysphagia; CT has good spatiotemporal resolution to display the movement of food boluses and swallowing organsthree- dimensionally and dynamically; MRI can show the lesions of dysphagia and the related brain function networks. Such imaging techniques provide a basis for the rehabilitation and nursing of dysphagia.
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Key words:
- stroke /
- dysphagia /
- swallowing assessment /
- imaging studies /
- rehabilitation nursing
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