护理学报 ›› 2023, Vol. 30 ›› Issue (18): 42-47.doi: 10.16460/j.issn1008-9969.2023.18.042
帕金森病患者吞咽障碍筛查工具的范围综述
龚思媛a, 廖春莲a, 高燕b, 刘继红a, 李佳a, 唐荣珠a
- 重庆医科大学附属第二医院 a.神经内科; b.护理部,重庆 400000
摘要： 目的 系统综述国内外开发、引入或验证帕金森病患者吞咽障碍筛查工具的相关研究。方法 采用范围综述的研究方法,聚焦帕金森病患者吞咽障碍筛查工具的相关研究,提取纳入文献的发表年份、国家、样本量、研究目的、筛查工具、临界值、参考工具、测量学特性、条目数量、筛查内容、评分方式等内容,分析筛查工具的评估内容、筛查效能、优点以及局限性。结果 最终纳入16篇文献,11种帕金森病患者吞咽障碍筛查工具,内容主要聚焦于吞咽障碍的临床症状和体征,多数筛查工具筛查效能有限,部分筛查工具尚未汉化引入应用于临床。结论 帕金森病患者吞咽障碍的筛查工具种类较多,今后仍需开展更多高质量研究进一步检验筛查效能,重点关注客观可量化的筛查工具,同时还需制定规范的筛查流程,提升筛查工具的临床应用价值。
中图分类号:
- R473.74
| [1] Li G, Ma J, Cui S, et al.Parkinson's disease in China: a forty-year growing track of bedside work[J]. Transl Neurodegener, 2019,8(1):22. DOI:10.1186/s40035-019-0162-z. [2] Dorsey ER, Constantinescu R, Thompson JP, et al.Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030[J]. Neurology, 2007,68(5):384-386.DOI:10.1212/01.wnl.0000247740.47667.03. [3] Pflug C, Bihler M, Emich K, et al.Critical dysphagia is common in Parkinson disease and occurs even in early stages: a prospective cohort study[J]. Dysphagia, 2018,33(1):41-50. DOI:10.1007/s00455-017-9831-1. [4] 孙环,许颖颖,王铭铭,等. 帕金森患者吞咽困难与营养状况的相关性[J]. 中国卫生工程学, 2021,20(1):65-67. DOI:10.19937/j.issn.1671-4199.2021.01.025. [5] Lee JH, Lee KW, Kim SB, et al.The functional dysphagia scale is a useful tool for predicting aspiration pneumonia in patients with Parkinson disease[J]. Ann Rehabil Med, 2016,40(3):440-446. DOI:10.5535/arm.2016.40.3.440. [6] Dilmaghani S, Atieh J, Khanna L, et al.Severity of dysphagia is associated with hospitalizations and mortality in patients with Parkinson's disease[J]. Neurogastroenterol Motil, 2022,34(6):e14280. DOI:10.1111/nmo.14280. [7] Kalf JG, de Swart BJ, Bloem BR,et al. Prevalence of oropharyngeal dysphagia in Parkinson's disease: a Meta-analysis[J]. Parkinsonism Relat Disord, 2012,18(4):311-315. DOI:10.1016/j.parkreldis.2011.11.006. [8] Cosentino G, Avenali M, Schindler A, et al.A multinational consensus on dysphagia in Parkinson's disease: screening, diagnosis and prognostic value[J]. J Neurol, 2022,269(3):1335-1352. DOI:10.1007/s00415-021-10739-8. [9] Cardoso AR, Guimarães I, Santos H, et al.Cross-cultural adaptation and validation of the Swallowing Disturbance Questionnaire and the Sialorrhea Clinical Scale in portuguese patients with Parkinson's disease[J]. Logoped Phoniatr Vocol,2021,46(4):163-170.DOI:10.1080/14015439.2020.1792979. [10] 朱紫蔓,公维军.帕金森病吞咽障碍研究进展[J].老年医学与保健,2021,27(1):194-196. DOI:10.3969/j.issn.1008-8296.2021.01.048. [11] 刘亚君,王运良. 帕金森病吞咽功能障碍研究进展[J]. 中国实用神经疾病杂志,2021, 24(12):1099-1104. DOI:10.12083/SYSJ.2021.16.017. [12] Manor Y, Giladi N, Cohen A, et al.Validation of a Swallowing Disturbance Questionnaire for detecting dysphagia in patients with Parkinson's disease[J]. Mov Disord, 2007,22(13):1917-1921. DOI:10.1002/mds.21625. [13] Yamamoto T, Ikeda K, Usui H, et al.Validation of the Japanese translation of the Swallowing Disturbance Questionnaire in Parkinson's disease patients[J].Qual Life Res, 2012,21(7):1299-1303. DOI:10.1007/s11136-011-0041-2. [14] Rajaei A, Azargoon SA, Nilforoush MH, et al.Validation of the Persian translation of the Swallowing Disturbance Questionnaire in Parkinson's disease patients[J]. Parkinsons Dis, 2014,2014:159476. DOI:10.1155/2014/159476. [15] Simons JA, Fietzek UM, Waldmann A, et al.Development and validation of a new screening questionnaire for dysphagia in early stages of Parkinson's disease[J]. Parkinsonism Relat Disord,2014,20(9):992-998. DOI:10.1016/j.parkreldis.2014.06.008. [16] 杨柳. 中文版吞咽障碍问卷用于PD患者的评价[D]. 太原:山西医科大学,2016. [17] Buhmann C, Flügel T, Bihler M, et al.Is the Munich Dysphagia Test-Parkinson's Disease(MDT-PD) a valid screening tool for patients at risk for aspiration?[J]. Parkinsonism Relat Disord, 2019,61:138-143. DOI:10.1016/j.parkreldis.2018.10.031. [18] Branco LL, Trentin S, Augustin Schwanke CH, et al.The Swallowing Clinical Assessment Score in Parkinson's Disease (SCAS-PD) is a valid and low-cost tool for evaluation of dysphagia: a gold-standard comparison study[J]. J Aging Res, 2019,2019:1-7. DOI:10.1155/2019/7984635. [19] 齐玉娟,陈媛,邓娟,等. 床旁GUSS吞咽功能筛查在帕金森病患者中的应用效果评价[J]. 实用临床护理学电子杂志,2019,4(45):179-183. [20] Nienstedt JC, Bihler M, Niessen A, et al.Predictive clinical factors for penetration and aspiration in Parkinson's disease[J]. Neurogastroenterol Motil, 2019,31(3):e13524. DOI:10.1111/nmo.13524. [21] Curtis JA, Troche MS.Handheld Cough Testing: a novel tool for cough assessment and dysphagia screening[J]. Dysphagia,2020,35(6):993-1000.DOI:10.1007/s00455-020-10097-z. [22] 王莹,王司晔,孙丽,等. 洼田饮水试验和EAT-10在帕金森病吞咽障碍中的应用[J]. 交通医学,2020,34(3):289-291. DOI:10.19767/j.cnki.32-1412.2020.03.023. [23] 徐良额,张圣,江秉泽,等.才藤氏评级法对帕金森病患者吞咽功能筛查的意义及与长期营养状态的关系研究[J]. 浙江医学,2020, 42(15):1598-1602; 1608.DOI:10.12056/j.issn.1006-2785.2020.42.15.2019-3255. [24] Frank U, Radtke J, Nienstedt JC, et al.Dysphagia screening in Parkinson's disease. A diagnostic accuracy cross-sectional study investigating the applicability of the Gugging Swallowing Screen(GUSS)[J].Neurogastroenterol Motil, 2021,33(5):e14034. DOI:10.1111/nmo.14034. [25] Schlickewei O, Nienstedt JC, Frank U, et al.The Ability of the Eating Assessment Tool-10 to detect penetration and aspiration in Parkinson's disease[J]. Eur Arch Otorhinolaryngol, 2021,278(5):1661-1668. DOI:10.1007/s00405-020-06377-x. [26] Dagna C, Avenali M, De Icco R, et al.From DYMUS to DYPARK: validation of a Screening Questionnaire for Dysphagia in Parkinson's disease[J]. Dysphagia, 2022,37(4):824-830. DOI:10.1007/s00455-021-10332-1. [27] 李秀云,孟玲.吞咽障碍康复护理专家共识[J]. 护理学杂志,2021,36(15):1-4. DOI:10.3870/j.issn.1001-4152.2021.15.001. [28] Banda KJ, Chu H, Chen R, et al.Prevalence of oropharyngeal dysphagia and risk of pneumonia, malnutrition, and mortality in adults aged 60 years and older: a Meta-analysis[J]. Gerontology, 2022,68(8):841-853. DOI:10.1159/000520326. [29] Rangira D, Najeeb H, Shune SE, et al.Understanding burden in caregivers of adults with dysphagia: a systematic review[J]. Am J Speech Lang Pathol, 2022,31(1):486-501. DOI:10.1044/2021_AJSLP-21-00249. [30] Ekberg O, Hamdy S, Woisard V, et al.Social and psychological burden of dysphagia: its impact on diagnosis and treatment[J]. Dysphagia, 2002,17(2):139-146. DOI:10.1007/s00455-001-0113-5. [31] Labeit B, Claus I, Muhle P, et al.Oropharyngeal freezing and its relation to dysphagia - an analogy to freezing of gait[J]. Parkinsonism Relat Disord, 2020,75:1-6. DOI:10.1016/j.parkreldis.2020.05.002. [32] 胡美娇,李芳琴,陈悦霞,等. 慕尼黑吞咽障碍测试-帕金森病问卷调查的汉化及信效度评价[J].现代实用医学,2021,33(11):1450-1452;1479.DOI:10.3969/j.issn.1671-0800.2021.11.021. [33] 姜俊香,沈丽珍,虞祥娟,等. 综合护理干预对帕金森病病人生活质量的影响[J].护理研究,2014,28(10):1241-1243.DOI:10.3969/j.issn.1009-6493.2014.10.041. [34] 曲艳,李晓红,孙亚南,等. 汉化版MDS-UPDRS与传统UPDRS评测帕金森病的比较分析[J]. 中国康复理论与实践,2019,25(8):936-939.DOI:10.3969/j.issn.1006-9771.2019.08.010. [35] 郑晓娜,陈秋华,邵庭芳,等. 9种吞咽障碍筛查量表准确性的网状Meta分析[J].中华护理杂志,2019,54(10):1561-1566. DOI:10.3761/j.issn.0254-1769.2019.10.023. [36] 徐嘉琦,陈俊春,何华英. 脑卒中患者吞咽障碍筛查工具的研究进展[J]. 护理学报,2017,24(19):24-29. DOI:10.16460/j.issn1008-9969.2017.19.024. |
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