奚背景:电视荧光放射录相术(videoflurography,VFG)可以了解吞咽过程中不同时相的通过时间,有无钡剂残留和误吸,从而了解吞咽障碍的特点,对临床制定治疗计划有一定的参考价值,在国外早已普遍应用。目的:探讨VFG对脑卒中后吞咽障碍患者的评估的价值。设计:非随机、标准对照、开放实验,前瞻性研究。地点和对象:在中国中医研究院广安门医院神经内科病房选择脑卒中后吞咽障碍患者60例。同时向社会招募健康中老年人20例。干预:以上两组由中国中医研究院广安门医院放射科王德文医师行VFG检查。主要观察指标:分别记录两组受试者吞咽稀钡及半胶钡(含钡面糊)过程中的口通过时间和咽通过时间,并评价口、咽功能,记录有无舌肌运动减弱,钡剂残留梨状隐窝、会厌,是否误吸入气管。结果:①吞咽障碍组各吞咽时间相通过时间均较健康中老年组延长。②会厌钡剂残留在患者中发生率最高,梨状隐窝钡剂残留发生率较高。③脑干病变组各病理征象发生率均高于大脑半球病变组。经统计学处理,脑干病变组与大脑半球病变组误吸发生率差异有显著性意义(P<0.05)。结论:VFG可以对吞咽全过程特别咽时相的病理征象进行更详细的观察,是脑卒中后吞咽障碍检查的有效方法。奚谷谷 Xi Background: Video fluoroscopy (videoflurography, VFG) can understand the different phases of the passage of time during the passage of time, with or without barium residues and aspiration, so as to understand the characteristics of swallowing disorders, clinical planning for treatment have some reference Value, has long been widely used in foreign countries. Objective: To investigate the value of VFG in assessing patients with post-stroke dysphagia. Design: Non-randomized, standard-controlled, open-label, prospective study. Location and Subjects: Sixty patients with dysphagia after stroke were selected at the Department of Neurology, Guang’anmen Hospital, China Academy of Traditional Chinese Medicine. At the same time to the community to recruit 20 healthy middle-aged and elderly. Intervention: The above two groups by the China Academy of Traditional Chinese Medicine Guang’anmen Hospital Radiology Wang Dewen VFG examination. MAIN OUTCOME MEASURES: The oral transit time and pharyngeal passage time during the swallowing of barium and semi-barium (including barium batter) were recorded respectively in two groups of subjects, and the mouth and pharynx function were evaluated. Agent residual pear-shaped crypts, epiglottis, whether inhaled trachea or wrong. Results: ①The swallowing time of swallowing group was longer than that of middle-aged and elderly patients. ② epiglottium barium residues in patients with the highest incidence of pear-shaped crypts barium residue higher incidence. ③ the incidence of pathological signs of brain stem lesions were higher than the incidence of cerebral hemispheres. Statistically, there was significant difference in the incidence of aspiration between brain stem lesions and cerebral hemispheres (P <0.05). Conclusion: VFG can observe the pathological signs of the pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal swallowing pharynx Xi Valley Valley