中風病人吞嚥困難的比率及治療成效初探－以新竹某區域教學醫院為例

盧采臻; 張麟鳳; 洪蘆妍; 彭淑苹

doi:10.6143/JSLHAT.2017.06.04

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医药卫生 > 外科

DOI： 10.6143/JSLHAT

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中风病人吞咽困难的比率及治疗成效初探－以新竹某区域教学医院为例

The Dysphagia Percentage of Patients with CVA and the Effectiveness of Speech Therapy - A Pilot Study in a Regional Teaching Hospital in Hsinchu

卢采臻(Cai-Jhen Lu) ；张麟凤(Lin-Feng Chang) ；洪芦妍(Lu-Yean Hung) ；彭淑苹(Shu-Ping Peng)

台湾听力语言学会杂志； 36 期 (2017 / 06 / 01) ， P35 - 46

繁体中文 DOI： 10.6143/JSLHAT.2017.06.04

吞咽困难；发生率；治疗成效；吞咽治疗； Dysphagia ； Prevalence ； Effectiveness ； Swallow therapy

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摘要 │ 参考文献 (8) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

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Dysphagia is a common complication during patients with CVA (cerebral vascular accident), which percentage is 74.2%; however, the percentage of receiving swallow therapy is relatively low. Recently, it has been found that the use of swallow scanning chart and early intervention of swallow therapy would help dysphagic patients improve their swallowing difficulties. As a result, the present study will discuss about the percentage of dysphagic inpatients, the percentage of receiving swallow therapy of them and the effectiveness of the therapy. The present study includes 72 CVA inpatients, and their dysphagic problem will be assessed by EAT-10 in Chinese version, which is a self-evaluating assessment developed by Dr. Belafsky, and the collected data will be analyzed. The result shows that the percentage of inpatients with dysphagia is 74%, but only 51% of them undergoing swallow therapy. Those inpatients referred to speech-language pathologist (SLP) will receive intensive swallowing therapy, which means five times per week for 2 weeks, and they will be reevaluated by EAT-10 after the fifth and tenth therapy for a better understanding of the effectiveness of the therapy. It is found that dysphagia is effectively improved after the therapy for five times (p = 0.000), and their daily eating is also significantly improved after the tenth therapy. Besides, there are nearly half (48.15%) of severe dysphagic inpatients become mild dysphagia or get total recovery from it. It is also found that the percentage of dysphagia caused by CVA is high, but there are only 50%of them receiving swallow therapy. We find that if we can scan suspected dysphagic patients in the early stage of CVA and refer them to SLP for swallow therapy according to the scanning, the dysphagic problem will be effectively resolved along with their spontaneous recovery. Furthermore, The use of EAT-10 as a scanning tool will help clinical medical personnel find out dysphagic inpatients, which will be positively increase the proportion of referring patients in-need to SLP and improve their dysphagic problem.

参考文献 ( 8 ) 〈TOP〉

卫生福利部（2015）。103年国人死因统计结果。2017年6月20日，取自http://www.mohw.gov.tw/news/531349778
Belafsky, P. C.,Mouadeb, D. A.,Rees, C. J.,Pryor, J. C.,Postma, G. N.,Allen, J.,Leonard, R. J.(2008).Validity and reliability of the eating assessment tool (EAT-10).Annals of Otology, Rhinology, & Laryngology,117,919-924.
Campbell-Taylor, I.(2008).Oropharyngeal dysphagia in long-term care: Misperceptions of treatment efficacy.Journal of American Medical Directors Association,9,523-531.
Cheney, D. M.,Siddiqui, M. T.,Litts, J. K.,Kuhn, M. A.,Belafsky, P. C.(2015).The ability of the 10-item eating assessment tool (EAT-10) to predict aspiration risk in persons with dysphagia.Annals of otology, Rhinology, and Laryngology,124,351-354.
Odderson, I. R.,Keaton, J. C.,McKenna, B. S.(1995).Swallow management in patients on an acute stroke pathway: Quality is cost effective.Archives of Physical Medicine and Rehabilitation,76,1130-1133.

被引用文献 ( 1 ) 〈TOP〉

陈柔安,陈力瑄,王维那(2023)。「食不下咽」一位脑出血并吞咽障碍之照护经验。若瑟医护杂志，17(1)，33-44。

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