智能吞咽障碍评测与训练系统对吞咽功能评估的重测信度

王娜,刘立明,蒋天裕,朱才兴,焦伟国,王秋华,瓮长水

武警医学 ›› 2013, Vol. 24 ›› Issue (8) : 649-651.

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武警医学 ›› 2013, Vol. 24 ›› Issue (8) : 649-651.
论著

智能吞咽障碍评测与训练系统对吞咽功能评估的重测信度

  • 王娜,刘立明,蒋天裕,朱才兴,焦伟国,王秋华,瓮长水
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Test-retest reliability of swallowing assessment by digital accelerometry for swallowing imaging

  • WANG Na,LIU Liming,JIANG Tianyu,ZHU Caixing,JIAO Weiguo,WANG Qiuhua,and WENG Changshui.
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摘要

目的 研究智能吞咽障碍评测与训练系统(digital accelerometry for swallow imaging,DASITM)对吞咽功能评估的重测信度,为临床应用提供依据。方法 33例志愿者参与研究,其中老年人22例,均利用DASITM进行4次吞咽口水的测试,根据DASITM系统自带软件分析结果,记录4次测试的吞咽波峰、吞咽启动时间和吞咽持续时间平均值,并于1周内重复测试1次。将其数据利用SPSS17.0软件进行组内相关系数(ICC) 检验分析。结果 全部受试者的吞咽波峰和持续时间均具有极好的重测信度(ICC=0.767~0.914);全部受试者的吞咽启动时间具有中等程度的重测信度(ICC=0.410,),而老年受试者的启动时间重测信度较差(ICC为0.318)。结论 DASITM在吞咽波峰和持续时间上有极好的重测信度,在吞咽启动时间上重测信度为中等,该设备无创、便携、价廉,可以用于吞咽障碍患者的临床评估和治疗。

Abstract

Objective To determine the test-retest reliability of swallowing function assessment by digital accelerometry for swallowing imaging (DASITM), specially for the elderly. Methods Thinty-three volunteers were assessed dry swallowing 4 times with DASITM, get the mean data of peak of swallowing (PS), onset of swallowing (OS) and duration of swallowing (DS) with the Software providing imaging and physiology measurements. Retest was performed in a week. Statistics using software SPSS 17.0 obtained the intraclass correlation coefficient (ICC) of AS, OS and DS. Results The ICC of AS and DS were 0.767-0.914 ( P< 0.01), had very good test-retest reliability. The all volunteers’ ICC of OS was 0.410(P>0.05), had medium test-retest reliability. The OS’ test-retest reliability in the elderly was poor. Conclusions DASITM has good test-retest reliability in swallowing assessment, it is non-invasive, portable, cheap, and feasible for most dysphagia patients.

关键词

吞咽功能 / 加速度 / 评估 / 信度

Key words

swallow / accelerometry / assessment / reliability

引用本文

导出引用
王娜,刘立明,蒋天裕,朱才兴,焦伟国,王秋华,瓮长水. 智能吞咽障碍评测与训练系统对吞咽功能评估的重测信度[J]. 武警医学. 2013, 24(8): 649-651
WANG Na,LIU Liming,JIANG Tianyu,ZHU Caixing,JIAO Weiguo,WANG Qiuhua,and WENG Changshui.. Test-retest reliability of swallowing assessment by digital accelerometry for swallowing imaging[J]. Medical Journal of the Chinese People Armed Police Forces. 2013, 24(8): 649-651
中图分类号: R741.044   

基金

全军医药卫生科研基金(11BJZ14)

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